Organization
HEALTH CENTER OF SOUTHEAST TEXAS
Active
Other names
Health Center of Southeast Texas-Livingston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN RACCIATO (EXECUTIVE DIRECTOR)
(281) 592-2224
Entity
Organization
Contact information
Practice address
204 W PARK, LIVINGSTON, TX 77351-9336
(936) 327-4660
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179566803
—
TX
Enumeration date
11/04/2015
Last updated
02/21/2024
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