Prairie View A&m University
NPI #1639239874 in Prairie View, Texas
Provider Information
- NPI Number
- 1639239874
- Entity Type
- Organization
- Organization Name
- Prairie View A&m University
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jun 11, 2018
Practice Location
- Address
- 1125 REDA BLAND & OJ BAKER ST
- City
- Prairie View
- State
- Texas
- ZIP Code
- 77446
- Phone
- (936) 261-1410
Authorized Official
- Name
- GLENN E BERRY, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (936) 261-1410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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