Organization · Type 2 NPI

Health Center of Southeast Texas

Federally Qualified Health Center (FQHC) · Livingston, TX

NPI number 1659744217 Active

Practice location

204 W Park
Livingston, TX 77351-9336

Call (936) 327-4660 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...

Another provider at this address

Maria Rojas, NPFamily Nurse Practitioner Livingston, TX NPI 1528508553

NPI record

NPI: 1659744217
Entity type: Organization (Type 2)
Issued: Nov 4, 2015
Last updated: Feb 21, 2024
Status: Active

Other names

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

Authorized official

Mr. Steven Racciato
Executive Director
(281) 592-2224

Verify this record

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 1659744217

Health Center of Southeast Texas's National Provider Identifier is 1659744217, issued on Nov 4, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Livingston, TX. The record was last updated on Feb 21, 2024.