Provider Demographics
NPI:1851454102
Name:CHRISTUS HEALTH
Entity Type:Organization
Organization Name:CHRISTUS HEALTH
Other - Org Name:US FAMILY HEALTH PLAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-282-2585
Mailing Address - Street 1:PO BOX 169001
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75016-9001
Mailing Address - Country:US
Mailing Address - Phone:469-282-2585
Mailing Address - Fax:713-613-3885
Practice Address - Street 1:919 HIDDEN RDG
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3813
Practice Address - Country:US
Practice Address - Phone:469-282-2585
Practice Address - Fax:713-613-3885
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTUS HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-18
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH0999OtherBCBS-HOSPITAL SERVICES