STEPHEN F. AUSTIN STATE UNIVERSITY NPI 1477807121

NPI Information

NPI: 1477807121
Provider Name: STEPHEN F. AUSTIN STATE UNIVERSITY

Doing Business As: STEPHEN F. AUSTIN STATE UNIVERSITY SPORTS MEDICINE

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
712 HAYTER
13010 SFA STATION
NACOGDOCHES, TX
ZIP 75962
Phone: (936) 468-3506
Get Directions

STEPHEN F. AUSTIN STATE UNIVERSITY is a student health clinic center in Nacogdoches, TX. STEPHEN F. AUSTIN STATE UNIVERSITY NPI is 1477807121. The provider is registered as an organization entity type.
The provider Is Doing Business As Stephen F. Austin State University Sports Medicine.

The provider's business location address is:

712 HAYTER
13010 SFA STATION
NACOGDOCHES, TX
ZIP 75962-940
Phone: (936) 468-3506
Fax: (936) 468-4580

The provider's authorized official is Baker Patillo .
The authorized official title is President and has the following contact phone number (936) 468-2201.

The enumeration date for this NPI number is 11/2/2012 and was last updated on 2/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1000X	Clinic/Center	Student Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »