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Organization

SOUTHEAST CARE AND HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENNIT E. HAYES (AUTHORIZED OFFICIAL)
(713) 440-0074
Entity
Organization

Contact information

Practice address
3932 OLD SPANISH TRL, STE C, HOUSTON, TX 77021-1460
(713) 440-0074
(713) 440-0106
Mailing address
3922 OLD SPANISH TRL, HOUSTON, TX 77021-1425
(713) 440-0074
(713) 440-0106

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
TX

Other

Enumeration date
11/03/2010
Last updated
03/28/2012
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