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CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE CENTER - KIRBYVILLE
NPI 1063485548
Clinic/Center - Rural Health in Kirbyville, TX

Active since February 07, 2006CLIA 45D0869451 · Accreditation
205 E LAVIELLE ST, KIRBYVILLE, TX 75956(409) 423-2217(409) 423-2421 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christus Southeast Texas Family Practice Center - Kirbyville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE CENTER - KIRBYVILLE (NPI 1063485548) is a healthcare organization registered as a rural health in Kirbyville, Texas and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through August 14, 2027 and lists Paul Trevino, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1063485548
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCHRISTUS HEALTH SOUTHEAST TEXAS
Location Address205 E LAVIELLE STKirbyville, TX 75956-2119
Mailing AddressPo Box 848060Dallas, TX 75284-8060 · (800) 756-7999 · Fax (469) 282-1999
Phone(409) 423-2217
Fax(409) 423-2421
Organization SubpartYesParent: Christus Health
Authorized OfficialPaul TrevinoPresident / Ceo · (409) 899-7102
Enumeration DateFebruary 7, 2006
Last NPPES UpdateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
✔ NPI 1063485548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
205 E LAVIELLE ST, Kirbyville, TX 75956
Open in Google Maps ↗

Other Names 1

Doing Business AsChristus Southeast Texas Family Practice Center - Kirbyville

Other Identifiers 1

Medicaid137305206TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0869451

Christus Southeast Texas Family Practice Center Kirbyville · Kirbyville, TX
Active · expires Aug 14, 2027
CLIA Number45D0869451
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorJames T. Molina
Laboratory Phone(409) 236-4517
Laboratory LocationChristus Southeast Texas Family Practice Center Kirbyville205 E Lavielle St, Kirbyville, TX 75956
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MCBRAIN
Nurse Practitioner (Family)
205 E LAVIELLE ST
KIRBYVILLE, TX 75956
Jasper County (221) 740-9423
MR. TOMMY KENT SIMS PA-C
Physician Assistant
205 E LAVIELLE ST
KIRBYVILLE, TX 75956
Jasper County (404) 232-2117
PATRICIA L SCOTT RN, APRN, FNP-BC
Nurse Practitioner (Family)
205 E LAVIELLE ST
KIRBYVILLE, TX 75956
Jasper County (409) 423-2217
DALE AUGUST STAGGEMEIER JR. MD
Family Medicine
205 E LAVIELLE ST
KIRBYVILLE, TX 75956
Jasper County (409) 489-8938
DR. LONNIE JAMES BEAN JR. M.D.
Internal Medicine
205 E LAVIELLE ST
KIRBYVILLE, TX 75956
Jasper County (409) 423-2217
SUSAN EDGE RN,FNP-C
Nurse Practitioner (Family)
205 E LAVIELLE ST
KIRBYVILLE, TX 75956
Jasper County (409) 423-2217
JASPER NEWTON COUNTY PUBLIC HEALTH DISTRICT
Public Health or Welfare
205 E LAVIELLE ST
KIRBYVILLE, TX 75956
Jasper County (409) 423-6133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christus Health Southeast Texas's NPI number?

The NPI number for Christus Health Southeast Texas is 1063485548. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Christus Southeast Texas Family Practice Center - Kirbyville.

Where is Christus Health Southeast Texas located?

Christus Health Southeast Texas is located at 205 E Lavielle St, Kirbyville, TX 75956. The listed phone number is (409) 423-2217.

What is Christus Health Southeast Texas's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Christus Health Southeast Texas hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D0869451) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Christus Health Southeast Texas accept?

Health plans from CHRISTUS Health Plan and UnitedHealthcare list Christus Health Southeast Texas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christus Health Southeast Texas was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.