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NPI Code Detail

MEDICARE: CHRISTUS HEALTH SOUTHEAST TEXAS

MEDICARE: CHRISTUS HEALTH SOUTHEAST TEXAS
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
1275N00000XMedicare Defined Swing Bed Hospital Unit000038TX

General Provider Information

NPI Number : 1790758738
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTUS HEALTH SOUTHEAST TEXAS
Provider Business Mailing Address
First Line : 1275 MARVIN HANCOCK DR
Second Line :
City : JASPER
State : TX
Zip : 75951-4935
Country : US
Telephone Number : 409-384-1872
Fax Number : 409-383-0622
Provider Business Practice Location Address
First Line : 1275 MARVIN HANCOCK DR
Second Line :
City : JASPER
State : TX
Zip : 75951-4935
Country : US
Telephone Number : 409-384-1872
Fax Number : 409-383-0622
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. DEBORAH R WIEGAND
Credential : RN
Telephone Number : 409-384-1872
Provider Enumeration Date : 02/09/2006
Last Update Date : 07/06/2011

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Directions to “CHRISTUS HEALTH SOUTHEAST TEXAS ” 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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