Healthcare Provider Details

I. General information

NPI: 1164467742
Provider Name (Legal Business Name): CORSICANA-NAVARRO COUNTY PUBLIC HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W COLLIN ST
CORSICANA TX
75110-5222
US

IV. Provider business mailing address

PO BOX 518
CORSICANA TX
75151-0518
US

V. Phone/Fax

Practice location:
  • Phone: 903-874-6711
  • Fax: 903-872-8014
Mailing address:
  • Phone: 903-874-6711
  • Fax: 903-872-8014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REYNA ELIZABETH VAQUERA
Title or Position: BILLING MANAGER
Credential:
Phone: 903-874-6711