TEXAS A&M UNIVERSITY NPI 1588030241

NPI Information

NPI: 1588030241
Provider Name: TEXAS A&M UNIVERSITY
Classification: Preventive Medicine - 2083S0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 45D1048925

Address:
12 JOHN DAVID CROW BLVD
COLLEGE STATION, TX
ZIP 77843
Phone: (979) 845-3121
Get Directions

TEXAS A&M UNIVERSITY is a sports medicine preventive medicine in College Station, TX. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. TEXAS A&M UNIVERSITY NPI is 1588030241. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12 JOHN DAVID CROW BLVD
COLLEGE STATION, TX
ZIP 77843
Phone: (979) 845-3121

The provider's authorized official is Phil Hedrick .
The authorized official title is Assistant A.d. Athletic Training and has the following contact phone number (979) 862-2930.

The CLIA number assigned to this NPI record is 45D1048925 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2015 and was last updated on 8/18/2015.

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	2083S0010X	Preventive Medicine	Sports Medicine	AT5667	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AT5667	OTHER	TEXAS	ATHLETIC TRAINING

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

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