CORE HEALTH SYSTEMS NPI 1851235204

NPI Information

  • NPI: 1851235204
  • Provider Name: CORE HEALTH SYSTEMS
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1113 N WALCOTT ST STE B
    JEFFERSON, TX
    ZIP 75657
  • Phone: (903) 758-2471

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NPI Details

CORE HEALTH SYSTEMS is a general practice in Jefferson, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CORE HEALTH SYSTEMS NPI is 1851235204. The provider is registered as an organization entity type.

The provider's business location address is:

1113 N WALCOTT ST STE B
JEFFERSON, TX
ZIP 75657-034
Phone: (903) 758-2471
Fax: (903) 234-1639

The provider's authorized official is Rosemary O Villarreal .
The authorized official title is Provider Enrollment/cred Specialist and has the following contact phone number (903) 932-3779.

The enumeration date for this NPI number is 4/16/2026 and was last updated on 4/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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