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Health Center Of Southeast Texas
Family Nurse Practitioner in Liberty, Texas
NPI 1043570567

Health Center Of Southeast Texas is a Family Nurse Practitioner based in Cleveland, TX and is specialized in Family. Health Center Of Southeast Texas practices in Liberty, TX. The NPI Number for Health Center Of Southeast Texas is 1043570567 and holds a License No. (Texas).

The current practice location address for Health Center Of Southeast Texas is 1400 N Travis St, Liberty, TX and can be reached out via phone at 936-334-1185.

Location: 1400 N Travis St, Liberty, TX, 77327-4061
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043570567
Provider Name
Health Center Of Southeast Texas
Credential
Provider Entity Type
Organization
Address
1400 N Travis St, Liberty, TX, 77327-4061
Phone Number
936-334-1185
Fax Number
Provider Enumeration Date
05/17/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
179566802 05 TX
179566803 05 TX
179566801 05 TX
0044NH 01 TX BLUE CROSS/SHIELD GROUP NUMBER
00W245 01 TX MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1400 N Travis St
City
Liberty
State
Texas
Zip
77575-3138
Phone Number
936-334-1185
Fax Number
person
Provider Business Mailing Address Details
Address
1400 N Travis St
City
Liberty
State
Texas
Zip
77575-3138
Phone Number
936-334-1185
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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