| NPI | 1659744217 |
|---|---|
| Doing Business As | HEALTH CENTER OF SOUTHEAST TEXAS-LIVINGSTON |
| Entity Type | Organization |
| Authorized Contact | STEVEN RACCIATO Executive Director 281-592-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2024-02-21 |