NPI | 1265197867 |
---|---|
Doing Business As | HEALTH CENTER OF SOUTHEAST TEXAS - TERRENOS |
Entity Type | Organization |
Authorized Contact | STEVEN RACCIATO CEO 281-592-2224 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-11-08 |
Last Update Date | 2023-06-21 |