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Organization

HEALTH CENTER OF SOUTHEAST TEXAS

Active
Parent organization
HEALTH CENTER OF SOUTHEAST TEXAS
Other names
Health Center of Southeast Texas Dayton
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEALTH CENTER OF SOUTHEAST TEXAS
Authorized official
STEVEN RACCIATO (CEO)
(281) 592-2224
Entity
Organization

Contact information

Practice address
2206 N. CLEVELAND, DAYTON, TX 77535
(281) 592-2224
Mailing address
307 N WILLIAM BARNETT AVE, CLEVELAND, TX 77327-4061
(281) 592-2224

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
12/04/2020
Last updated
06/20/2023
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