Stephen F. Austin State University
NPI #1114361250 in Nacogdoches, Texas
Provider Information
- NPI Number
- 1114361250
- Entity Type
- Organization
- Organization Name
- Stephen F. Austin State University
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Apr 19, 2013
- Last Updated
- Apr 19, 2013
Practice Location
- Address
- 2106 RAQUET ST
- City
- Nacogdoches
- State
- Texas
- ZIP Code
- 75962-0001
- Phone
- (936) 468-4006
Authorized Official
- Name
- DR. BAKER PATILLO, PHD
- Title
- PRESIDENT
- Phone
- (936) 468-4580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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