STEPHEN F. AUSTIN STATE UNIVERSITY


Address: 2106 Raquet St, Nacogdoches, TX 75962-0001
Phone: 9364684006

STEPHEN F. AUSTIN STATE UNIVERSITY (NPI# 1114361250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114361250
Entity Type Organization
Organization Name STEPHEN F. AUSTIN STATE UNIVERSITY
Other Organization Name SFASU STUDENT HEALTH
Practice Address 2106 Raquet St
Nacogdoches
TX 75962-0001
Mailing Address 2106 Raquet St
Po Box 13058 Sfa Station
Nacogdoches
TX 75962-0001
Practice Telephone 9364684006
Mailing Telephone 9364684006
Enumeration Date 2013-04-19
Last Update Date 2013-04-19
Authorized Official Name DR. BAKER PATILLO (PRESIDENT)
Authorized Official Telephone 9364684580
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
SFASU Student Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477807121 Stephen F. Austin State University Clinic/Center 712 Hayter, 13010 Sfa Station, Nacogdoches, TX 75962-3940 2012-11-02

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities STEPHEN F AUSTIN STATE UNIVERSITY 1936 North St, Nacogdoches, TX 75965-3940

Office Location

Street Address 2106 RAQUET ST
City NACOGDOCHES
State TX
Zip Code 75962-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073643300 Linda Stark Bobo Specialist/Technologist 1936 N Street, Hpe Complex, Rm 204, Sfasfu, Nacogdoches, TX 75962 2007-03-06
1346895620 Daniel Anthony Latourelle Specialist/Technologist 712 Hayter Street, Nacogdoches, TX 75962-0001 2019-08-05
1730638164 Marie Collins Custead Dietitian, Registered Sfa Athletic Fieldhouse 712 Hayter St, Nacogdoches, TX 75962-0001 2016-09-27
1275081051 Kira Rubin Specialist/Technologist Sfa Athletic Fieldhouse, 712 Hayter St, Nacogdoches, TX 75962-0001 2016-09-21
1790113736 Jennifer Boynton Dietitian, Registered 712 Hayter 13010 Sfa Sta, Nacogdoches, TX 75962-0001 2013-10-30
1336411818 Alberta Nichols Specialist/Technologist 113 Hayter St, Nacogdoches, TX 75962-0001 2012-01-31
1881719821 Raymond Lynn Eastman Psychologist 209 Blount St, Nacogdoches, TX 75962-0001 2007-03-20
1225185531 John Miller Family Medicine 13058-sfa Statiion, Nacogdoches, TX 75962-0001 2007-01-05
1093876005 Renal Care Group Nacogdoches, LLP Clinic/Center 3226 University Dr, 100, Nacogdoches, TX 75962-0001 2006-12-13
1265501076 Stephen F. Austin State Univ. Health Service Clinic/Center 2106 Raguet St N, Box 13058, Nacogdoches, TX 75962-0001 2006-11-07
Find all providers in zip 75962

Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477807121 Stephen F. Austin State University Clinic/Center 712 Hayter, 13010 Sfa Station, Nacogdoches, TX 75962-3940 2012-11-02
1265501076 Stephen F. Austin State Univ. Health Service Clinic/Center 2106 Raguet St N, Box 13058, Nacogdoches, TX 75962-0001 2006-11-07
1063727048 Stephen F Austin State University Sports Medicine Clinic/Center 1936 North St, Sfa Sports Medicine Clinic, Nacogdoches, TX 75965-3940 2010-08-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801447669 Wayne Williams Clinic/Center 244 Flightline, Spring Branch, TX 78070-6241 2019-09-24
1528454675 University of Houston Health Center Clinic/Center 100 Uh Health Ctr, Houston, TX 77204-3019 2015-04-15
1669716205 Campbell University Inc Clinic/Center 5050 Spring Valley Rd, Dallas, TX 75244-3995 2012-11-20
1811283294 Aledo Isd Clinic/Center 1008 Bailey Ranch Rd, Aledo, TX 76008-3110 2011-06-23
1316231228 Desoto Isd Clinic/Center 600 Eagle Dr, Desoto, TX 75115-6006 2011-06-08
1952695538 The University of Texas At El Paso Clinic/Center 550 W University Ave, Union Complex East #100, El Paso, TX 79968-8900 2011-06-01
1649579533 Owens Franklin Health Center, Prairie View A&m University Clinic/Center Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 2011-03-18
1346551959 University of North Texas Clinic/Center 1800 Chestnut St, Denton, TX 76201 2010-06-29
1427296946 St Marys University Clinic/Center One Camino Santa Maria, San Antonio, TX 78228-8545 2009-01-22
1740491497 University Health Center Phcy Clinic/Center 1528 Avenue J, Huntsville, TX 77340-5227 2007-05-24
Find all providers with the same taxonomy

Competitor

Search similar providers

City NACOGDOCHES
Zip Code 75962

Improve Information

Please comment or provide details below to improve the information on STEPHEN F. AUSTIN STATE UNIVERSITY.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches