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Organization
HEALTH CENTER OF SOUTHEAST TEXAS
Active
Organization
HEALTH CENTER OF SOUTHEAST TEXAS
Active
Other names
Health Center of Southeast Texas - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RACCIATO (CEO)
(281) 592-2224
Entity
Organization
Contact information
Practice address
307 N WILLIAM BARNETT AVE, CLEVELAND, TX 77327-4061
(281) 592-2224
(281) 592-2225
Mailing address
307 N WILLIAM BARNETT AVE, CLEVELAND, TX 77327-4061
(281) 592-2224
(281) 592-2225
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150640
—
TX
Enumeration date
05/11/2020
Last updated
06/13/2023
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