Organization · Type 2 NPI

Christus Health Ark-La-Tex

General Practice Physician · Atlanta, TX

NPI number 1871916650 Active

Practice location

1007 S William St
Atlanta, TX 75551-3245

Call (903) 614-4200 Map

Fax (903) 614-4244

Mailing address

PO Box 3070
Texarkana, TX 75504-3070

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

16 other providers at this address

NPI record

NPI: 1871916650
Entity type: Organization (Type 2)
Issued: Jan 29, 2014
Last updated: Oct 5, 2023
Status: Active

Other names

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Christus ST Michael Atlanta Wound Care Center · doing business as
Christus ST Michael Atlanta Wound Care Center · doing business as

Authorized official

Jason Matthew Adams
President
(903) 614-1000

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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 1871916650

Christus Health Ark-La-Tex's National Provider Identifier is 1871916650, issued on Jan 29, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, TX. The record was last updated on Oct 5, 2023.