TEXAS A&M UNIVERSITY (NPI# 1588030241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588030241 |
Entity Type | Organization |
Organization Name | TEXAS A&M UNIVERSITY |
Practice Address |
12 John David Crow Blvd College Station TX 77843 |
Mailing Address |
Po Box 30017 College Station TX 77842-3017 |
Practice Telephone | 9798453121 |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |
Authorized Official Name | PHIL HEDRICK (ASSISTANT A.D. ATHLETIC TRAINING) |
Authorized Official Telephone | 9798622930 |
Authorized Official Credential | ATC, LAT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
AT5667 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | ATHLETIC TRAINING | AT5667 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235521121 | Texas A&m University | Family Medicine | 161 Wellborn Roard, Bright Complex, College Station, TX 77843-0001 | 2015-03-02 |
1578605952 | Texas A&m University | Pharmacy | Texas A M University, 1264 Tamu, College Station, TX 77843-1264 | 2007-02-13 |
1134356231 | Texas A&m University | Clinic/Center | 161 Wellborn Rd, Bright Football Complex, College Station, TX 77843-0001 | 2009-06-16 |
1528108826 | Texas A&m University | Clinic/Center | 1264 Tamu, College Station, TX 77843-1264 | 2007-02-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | TEXAS A&M UNIVERSITY | Corner of Spence / University St. Mail Stop 3366, College Station, TX 77843-0001 |
System for Award Management (SAM) Entities | TEXAS A&M UNIVERSITY SYSTEM,THE | 200 Technology Way, College Station, TX 77845-3424 |
System for Award Management (SAM) Entities | TEXAS A&M UNIVERSITY-CENTRAL TEXAS | 1001 Leadership Place, Killeen, TX 76549-5901 |
System for Award Management (SAM) Entities | TEXAS A&M UNIVERSITY-CORPUS CHRISTI | 6300 Ocean Dr Unit 5840, Corpus Christi, TX 78412-5503 |
System for Award Management (SAM) Entities | TEXAS A&M UNIVERSITY-SAN ANTONIO | 1 University Way, San Antonio, TX 78224-3134 |
Street Address |
12 JOHN DAVID CROW BLVD |
City | COLLEGE STATION |
State | TX |
Zip Code | 77843 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265989099 | Justin Donald Mullinnix | Specialist/Technologist | 12 John David Crow Blvd, College Station, TX 77843-0001 | 2016-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699024919 | Elizabeth Arnell Harrison | Nurse Practitioner | Tamu 1264, College Station, TX 77843 | 2012-08-31 |
1801457981 | Emma Marie Themel | Specialist/Technologist | 801 Harrington Tower, College Station, TX 77843-0001 | 2019-06-27 |
1730664335 | Allison Laree Andrews | Nurse Practitioner | 311 Houston Street, College Station, TX 77843-0001 | 2018-09-28 |
1770064727 | Kourtney Shey Higgins | Student in an Organized Health Care Education/Training Program | 400 Bizzel, College Station, TX 77843-0001 | 2018-08-28 |
1730684770 | Daniel Jacobi | Specialist/Technologist | 756 Houston St, College Station, TX 77843-0001 | 2018-03-29 |
1548774540 | Tonya Spradlin | Specialist/Technologist | 400 Bizzell Street, College Station, TX 77843-0001 | 2017-11-29 |
1477067536 | Kaitlyn Elizabeth Carter | Specialist/Technologist | Rudder Tower 401 Joe Routt Blvd, College Station, TX 77843-0001 | 2017-11-28 |
1003328212 | Cross Donald Klemko | Specialist/Technologist | 400 Bizzell St, College Station, TX 77843-0001 | 2017-10-27 |
1215449780 | Sonia Barrad | Specialist/Technologist | 1228 Texas A&m University, College Station, TX 77843-0001 | 2017-10-24 |
1538535604 | Devon Bowie | Specialist/Technologist | 905 Olsen Rd, College Station, TX 77843-0001 | 2015-08-12 |
Find all providers in zip 77843 |
Taxonomy Code | 2083S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Sports Medicine |
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811506538 | Regenerate Atx Pllc | Preventive Medicine | 11610 Fm 2244 Rd Ste 230, Austin, TX 78738-5457 | 2020-07-28 |
1063057602 | Heather Penka | Preventive Medicine | 820 Holiday Ln, North Richland Hills, TX 76180 | 2019-11-07 |
1952378556 | David B. Tsai, M.d., P.a. | Preventive Medicine | 210 Barton Springs Rd, Suite 200, Austin, TX 78704-1254 | 2006-03-02 |
1013526201 | Kimberly Moore | Preventive Medicine | 1333 W Washington St, Stephenville, TX 76401-4168 | 2020-07-24 |
1104382936 | Ashley Christine Wagner | Preventive Medicine | 3724 Executive Center Dr Ste G10, Austin, TX 78731-1665 | 2019-02-18 |
1891269056 | Deidre Bibb | Preventive Medicine | 1814 Roseland Blvd Ste 100, Tyler, TX 75701-4262 | 2019-01-21 |
1891169686 | Tracy Coleman IIi | Preventive Medicine | 6000 Eldorado Pkwy, Apt# 222, Frisco, TX 75033-3573 | 2015-11-17 |
City | COLLEGE STATION |
Zip Code | 77843 |
Please comment or provide details below to improve the information on TEXAS A&M 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.