Provider Demographics
NPI:1437267408
Name:SOUTHEAST TEXAS COMMUNITY HEALTH CLINIC
Entity Type:Organization
Organization Name:SOUTHEAST TEXAS COMMUNITY HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-833-4383
Mailing Address - Street 1:365 FORSYTHE ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3304
Mailing Address - Country:US
Mailing Address - Phone:409-833-4383
Mailing Address - Fax:409-832-9254
Practice Address - Street 1:365 FORSYTHE ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3304
Practice Address - Country:US
Practice Address - Phone:409-833-4383
Practice Address - Fax:409-832-9254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty