Healthcare Provider Details

I. General information

NPI: 1447883301
Provider Name (Legal Business Name): CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 05/06/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 WONDER WORLD DR
SAN MARCOS TX
78666-7533
US

IV. Provider business mailing address

PO BOX 846131
DALLAS TX
75284-6131
US

V. Phone/Fax

Practice location:
  • Phone: 512-353-8979
  • Fax: 512-753-3598
Mailing address:
  • Phone: 800-756-7999
  • Fax: 469-282-1791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE PARKER
Title or Position: CEO
Credential:
Phone: 210-704-3657