Organization · Type 2 NPI

Christus Health Southeast Texas

Rural Health Clinic/Center · Kirbyville, TX

NPI number 1063485548 Active

Practice location

205 E Lavielle St
Kirbyville, TX 75956-2119

Call (409) 423-2217 Map

Fax (409) 423-2421

Mailing address

PO Box 848060
Dallas, TX 75284-8060

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

7 other providers at this address

Jasper Newton County Public Health DistrictPublic Health or Welfare Agency Kirbyville, TX NPI 1932327228
Dale August Staggemeier Jr., MDFamily Medicine Physician Kirbyville, TX NPI 1346354941
Jennifer McBrainFamily Nurse Practitioner Kirbyville, TX NPI 1114719192
Lonnie James Bean Jr., MDInternal Medicine Physician Kirbyville, TX NPI 1538164876
Patricia L. Scott, RN, APRN, FNP-BCFamily Nurse Practitioner Kirbyville, TX NPI 1295083079
Susan Edge, RN, FNP-CFamily Nurse Practitioner Kirbyville, TX NPI 1811947401
Tommy Kent Sims, PA-CPhysician Assistant Kirbyville, TX NPI 1134540560

Other rural health clinic/center providers in Kirbyville

See all in Kirbyville →

NPI record

NPI: 1063485548
Entity type: Organization (Type 2)
Issued: Feb 7, 2006
Last updated: Oct 19, 2022
Status: Active
Subpart: Yes of Christus Health

Other names

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Christus Southeast Texas Family Practice Center - Kirbyville · doing business as

Authorized official

Paul Trevino
President / CEO
(409) 899-7102

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063485548

Christus Health Southeast Texas's National Provider Identifier is 1063485548, issued on Feb 7, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Kirbyville, TX. The record was last updated on Oct 19, 2022.