Organization · Type 2 NPI

Health Center of Southeast Texas

Federally Qualified Health Center (FQHC) · Cleveland, TX

NPI number 1265197867 Active

Practice location

871 Cr 3549
Cleveland, TX 77327

Call (281) 592-2224 Map

Mailing address

307 N William Barnett Ave
Cleveland, TX 77327-4061

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Cleveland

Health Center of Southeast TexasFederally Qualified Health Center (FQHC) Cleveland, TX NPI 1225059686

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NPI record

NPI: 1265197867
Entity type: Organization (Type 2)
Issued: Nov 8, 2021
Last updated: Jun 21, 2023
Status: Active
Subpart: Yes of Health Center of Southeast Texas

Other names

<unavail>
Health Center of Southeast Texas - Terrenos · doing business as
Health Center of Southeast Texas - Terrenos · doing business as

Authorized official

Steven Racciato
CEO
(281) 592-2224

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265197867

Health Center of Southeast Texas's National Provider Identifier is 1265197867, issued on Nov 8, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cleveland, TX. The record was last updated on Jun 21, 2023.