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NPI Code Detail

MEDICARE: HEALTH CENTER OF SOUTHEAST TEXAS

MEDICARE: HEALTH CENTER OF SOUTHEAST TEXAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1720911308
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH CENTER OF SOUTHEAST TEXAS
Provider Business Mailing Address
First Line : 2503 ROMAN FOREST BLVD
Second Line :
City : NEW CANEY
State : TX
Zip : 77357
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2503 ROMAN FOREST BLVD
Second Line :
City : NEW CANEY
State : TX
Zip : 77357
Country : US
Telephone Number : 281-602-7126
Fax Number :
Authorized Official
Title or Position : CEO
Name : MAGDALENA ESTRADA
Credential :
Telephone Number : 281-592-2224
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “HEALTH CENTER OF SOUTHEAST TEXAS ” Practice Location

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