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Health Center Of Southeast Texas
Family Nurse Practitioner in Shepherd, Texas
NPI 1346472537

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 Shepherd, TX. The NPI Number for Health Center Of Southeast Texas is 1346472537 and holds a License No. (Texas).

The current practice location address for Health Center Of Southeast Texas is 11 Woodland Park Dr, Shepherd, TX and can be reached out via phone at 936-628-1100 and via fax at 936-628-1199.

Location: 11 Woodland Park Dr, Shepherd, TX, 77327-4061
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346472537
Provider Name
Health Center Of Southeast Texas
Credential
Provider Entity Type
Organization
Address
11 Woodland Park Dr, Shepherd, TX, 77327-4061
Phone Number
936-628-1100
Fax Number
936-628-1199
Provider Enumeration Date
08/20/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
179566803 05 TX
0044NH 01 TX BLUE CROSS/SHIELD GROUP NUMBER
179566802 05 TX
179566801 05 TX
00W245 01 TX MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
11 Woodland Park Dr
City
Shepherd
State
Texas
Zip
77371-6495
Phone Number
936-628-1100
Fax Number
936-628-1199
person
Provider Business Mailing Address Details
Address
11 Woodland Park Dr
City
Shepherd
State
Texas
Zip
77371-6495
Phone Number
936-628-1100
Fax Number
936-628-1199
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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