Healthcare Provider Details

I. General information

NPI: 1194174524
Provider Name (Legal Business Name): CHRISTUS HOPKINS HEALTH ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 06/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 AIRPORT RD
SULPHUR SPRINGS TX
75482-2105
US

IV. Provider business mailing address

115 AIRPORT RD
SULPHUR SPRINGS TX
75482-2105
US

V. Phone/Fax

Practice location:
  • Phone: 903-439-4052
  • Fax: 903-885-4579
Mailing address:
  • Phone: 903-439-4052
  • Fax: 903-885-4579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL K MCANDREW
Title or Position: CEO
Credential:
Phone: 469-282-2376