Stephen F Austin State University Sports Medicine

NPI #1063727048 in Nacogdoches, Texas

Provider Information

NPI Number
1063727048
Entity Type
Organization
Organization Name
Stephen F Austin State University Sports Medicine
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Aug 13, 2010
Last Updated
Aug 13, 2010

Practice Location

Address
1936 NORTH ST
Address 2
SFA SPORTS MEDICINE CLINIC
State
Texas
ZIP Code
75965-3940
Phone
(936) 468-4550

Authorized Official

Name
SANDY MILLER, ATC
Title
ASST AD FOR SPORTS MEDICINE
Phone
(936) 468-4550

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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