Organization
HEALTH CENTER OF SOUTHEAST TEXAS
Active
Parent organization
HEALTH CENTER OF SOUTHEAST TEXAS
Other names
Health Center of Southeast Texas - Terrenos
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
871 CR 3549, CLEVELAND, TX 77327
(281) 592-2224
Mailing address
307 N WILLIAM BARNETT AVE, CLEVELAND, TX 77327-4061
(281) 592-2224
(281) 592-2225
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
11/08/2021
Last updated
06/21/2023
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