| Christus Southeast Texas - Family Practice Center Sam Rayburn | |
|
2427 W Recreational Road 255 Brookeland TX 75931-6408 | |
| (409) 698-9600 | |
| (409) 698-2800 |
| Full Name | Christus Southeast Texas - Family Practice Center Sam Rayburn |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2427 W Recreational Road 255, Brookeland, Texas |
| Authorized Official Name and Position | Deborah R Wiegand (ADMINISTRATOR) |
| Authorized Official Contact | 4093841872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Southeast Texas - Family Practice Center Sam Rayburn Po Box 5316 Sam Rayburn TX 75951-7701 Ph: (409) 384-1872 | Christus Southeast Texas - Family Practice Center Sam Rayburn 2427 W Recreational Road 255 Brookeland TX 75931-6408 Ph: (409) 698-9600 |
| NPI Number | 1194797621 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 07/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194797621 | NPI | - | NPPES |
| 137305210 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
Complete Healthcare Services Rhc - Rayburn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2427 Sam Rayburn Pkwy, Brookeland, TX 75931 Phone: 409-698-9600 Fax: 409-698-2800 | |
Jasper Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2427 Sam Rayburn Pkwy, Brookeland, TX 75931 Phone: 409-489-4220 |