Provider Demographics
NPI:1912091778
Name:COMPLETE HEALTHCARE SERVICES RHC PLLC
Entity Type:Organization
Organization Name:COMPLETE HEALTHCARE SERVICES RHC PLLC
Other - Org Name:COMPLETE HEALTHCARE SERVICES RHC - JASPER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-384-3430
Mailing Address - Street 1:315 W HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-4013
Mailing Address - Country:US
Mailing Address - Phone:409-384-3430
Mailing Address - Fax:409-383-0571
Practice Address - Street 1:315 W HOUSTON ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951
Practice Address - Country:US
Practice Address - Phone:409-384-3430
Practice Address - Fax:409-383-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
TX458910261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127285802Medicaid
458910Medicare ID - Type Unspecified