TEXAS CHRISTIAN UNIVERSITY (NPI# 1538381207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538381207 |
| Entity Type | Organization |
| Organization Name | TEXAS CHRISTIAN UNIVERSITY |
| Practice Address |
2825 Stadium Drive Brown Lupton Health Center Fort Worth TX 76109 |
| Mailing Address |
Box 297400 Texas Christian University Brown Lupton Health Center Fort Worth TX 76129 |
| Practice Telephone | 8172577940 |
| Practice Fax Number | 8172577279 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN GUTIERREZ (VICE CHANCELLOR FOR FINANCE AND ADM) |
| Authorized Official Telephone | 8172577815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932493525 | Texas Christian University | Clinic/Center | 2800 S University Dr, Fort Worth, TX 76129-0001 | 2011-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | TEXAS CHRISTIAN UNIVERSITY | Tcu Box 298240, Fort Worth, TX 76129 |
| Street Address |
2825 STADIUM DRIVE BROWN LUPTON HEALTH CENTER |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952405250 | John William Koechel | Psychologist | 2825 Stadium Drive, Fort Worth, TX 76109 | 2006-09-08 |
| 1417177411 | Wendell George Geiger | Physician Assistant | 2825 Stadium Drive, Fort Worth, TX 76109-1377 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265798672 | Brown Lupton Health Center | Clinic/Center | 2825 Stadium Dr, Fort Worth, TX 76109-1377 | 2012-04-10 |
| 1932493525 | Texas Christian University | Clinic/Center | 2800 S University Dr, Fort Worth, TX 76129-0001 | 2011-06-01 |
| 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 |
| 1114361250 | Stephen F. Austin State University | Clinic/Center | 2106 Raquet St, Nacogdoches, TX 75962-0001 | 2013-04-19 |
| 1669716205 | Campbell University Inc | Clinic/Center | 5050 Spring Valley Rd, Dallas, TX 75244-3995 | 2012-11-20 |
| 1477807121 | Stephen F. Austin State University | Clinic/Center | 712 Hayter, 13010 Sfa Station, Nacogdoches, TX 75962-3940 | 2012-11-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on TEXAS CHRISTIAN UNIVERSITY.
| 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.