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NPI Code Detail

MEDICARE: CHRISTUS HEALTH ARK-LA-TEX

MEDICARE: CHRISTUS HEALTH ARK-LA-TEX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10066DUOTHERTXBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3CJ5358OTHERRAILROAD
49R022OTHERARBLUE CROSS BLUE SHIELD
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184623266
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTUS HEALTH ARK-LA-TEX
Provider Business Mailing Address
First Line : PO BOX 3070
Second Line :
City : TEXARKANA
State : TX
Zip : 75504-3070
Country : US
Telephone Number : 903-614-2943
Fax Number : 903-614-2754
Provider Business Practice Location Address
First Line : 2600 SAINT MICHAEL DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-2372
Country : US
Telephone Number : 903-614-1000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JASON MATTHEW ADAMS
Credential :
Telephone Number : 702-738-4546
Provider Enumeration Date : 07/20/2005
Last Update Date : 03/04/2025

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1861470684 — DR. FRANK DELZON HAMLIN JR. MD
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1669444717 — TXAR 501A CORPORATION
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Directions to “CHRISTUS HEALTH ARK-LA-TEX ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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