Stephen F. Austin State University

NPI #1477807121 in Nacogdoches, Texas

Provider Information

NPI Number
1477807121
Entity Type
Organization
Organization Name
Stephen F. Austin State University
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Nov 2, 2012
Last Updated
Feb 27, 2014

Practice Location

Address
712 HAYTER
Address 2
13010 SFA STATION
State
Texas
ZIP Code
75962-3940
Phone
(936) 468-3506

Authorized Official

Name
DR. BAKER PATILLO, PHD
Title
PRESIDENT
Phone
(936) 468-2201

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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