| NPI | 1700192085 |
|---|---|
| Doing Business As | SOUTHEAST COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GERRIE WHITAKER CEO 817-625-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: TX 516819) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2021-08-02 |