| Christus Southeast Texas Family Practice Center - Kirbyville | |
|
205 E Lavielle St Kirbyville TX 75956-2119 | |
| (409) 423-2217 | |
| (409) 423-2421 |
| Full Name | Christus Southeast Texas Family Practice Center - Kirbyville |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 E Lavielle St, Kirbyville, Texas |
| Authorized Official Name and Position | Paul Trevino (PRESIDENT / CEO) |
| Authorized Official Contact | 4098997102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Southeast Texas Family Practice Center - Kirbyville Po Box 848060 Dallas TX 75284-8060 Ph: (800) 756-7999 | Christus Southeast Texas Family Practice Center - Kirbyville 205 E Lavielle St Kirbyville TX 75956-2119 Ph: (409) 423-2217 |
| NPI Number | 1063485548 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 3476460049 |
|---|---|
| Medicare Enrollment ID | O20040707000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063485548 | NPI | - | NPPES |
| 137305206 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
Family Healthcare- Kirbyville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 N Margaret Ave, Kirbyville, TX 75956 Phone: 409-420-0816 Fax: 409-420-0821 | |
Newton Family Clinic @ Kirbyville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E. Lavielle Street, Kirbyville, TX 75956 Phone: 409-423-4414 Fax: 409-232-0371 | |
Jasper Memorial Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E. Louielle, Kirbyville, TX 75956 Phone: 409-423-2217 |