| Health Center Of Southeast Texas - Liberty | |
|
1400 N Travis St Liberty TX 77575-3138 | |
| (936) 334-1185 | |
| Not Available |
| Full Name | Health Center Of Southeast Texas - Liberty |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 N Travis St, Liberty, Texas |
| Authorized Official Name and Position | Steven Racciato (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2815922224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Center Of Southeast Texas - Liberty 307 N William Barnett Ave Cleveland TX 77327-4061 Ph: (281) 592-2224 | Health Center Of Southeast Texas - Liberty 1400 N Travis St Liberty TX 77575-3138 Ph: (936) 334-1185 |
| NPI Number | 1043570567 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 9739195041 |
|---|---|
| Medicare Enrollment ID | O20150402000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043570567 | NPI | - | NPPES |
| 179566802 | Medicaid | TX | |
| 179566803 | Medicaid | TX | |
| 179566801 | Medicaid | TX | |
| 0044NH | Other | TX | BLUE CROSS/SHIELD GROUP NUMBER |
| 00W245 | Other | TX | MEDICARE GROUP NUMBER |
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