PRAIRIE VIEW A&M UNIVERSITY (NPI# 1639239874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639239874 |
| Entity Type | Organization |
| Organization Name | PRAIRIE VIEW A&M UNIVERSITY |
| Other Organization Name | OWENS-FRANKLIN HEALTH CENTER |
| Practice Address |
1125 Reda Bland & Oj Baker St Prairie View TX 77446 |
| Mailing Address |
P.o. Box 519 Ms 1413 Prairie View TX 77446 |
| Practice Telephone | 9362611410 |
| Practice Fax Number | 9362611452 |
| Mailing Telephone | 9362611410 |
| Mailing Fax Number | 9362611452 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | GLENN E BERRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9362611410 |
| Authorized Official Credential | M.D. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CLIA | 45D1052515 | 01 |
| Other Name | Type Code |
|---|---|
| Owens-Franklin Health Center | Other Name - Individual/Organization |
| Street Address |
1125 REDA BLAND & OJ BAKER ST |
| City | PRAIRIE VIEW |
| State | TX |
| Zip Code | 77446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841825239 | Maryellen Hole | Specialist/Technologist | 1600 Stadium Drive, Prairie View, TX 77446 | 2020-03-06 |
| 1063059350 | Kayla Martinez Johnson | Psychologist | 1125 Reda Bland Evans St, Prairie View, TX 77446 | 2019-12-05 |
| 1063940369 | Ruth Smith | Nurse Practitioner | 1125 Reda Bland Evans Street, Owens-franklin Health Center, Prairie View A&m Universi, Prairie View, TX 77446 | 2017-05-31 |
| 1013327253 | Amor Supply | Durable Medical Equipment & Medical Supplies | 20707 Emerald Dr., Prairie View, TX 77446 | 2014-04-28 |
| 1295079317 | Star of Texas Home Health LLC | Home Health | 509 Ellen Powell Dr, Prairie View, TX 77446 | 2012-11-15 |
| 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 |
| 1316101009 | Sarah B Williams | Social Worker | 205 Hill St, Prairie View, TX 77446 | 2008-07-11 |
| 1689725723 | Christopher Ethan Bartholomew | Dentist | 528 Bus Hwy 290, Prairie View, TX 77446 | 2007-01-16 |
| 1962578831 | Glenn Edward Berry | Internal Medicine | Oj Baker At Reda Bland Evans, Prairie View, TX 77446 | 2006-11-24 |
| 1790850691 | Fort Bend Family Health Center, Inc. | Clinic/Center | Reda Bland Evans At O.j. Baker Street, Owen Franklin Health Ctr, 2nd Fl., Prairie View A&m, Prairie View, TX 77446 | 2006-11-24 |
| Find all providers in zip 77446 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE VIEW |
| Zip Code | 77446 |
Please comment or provide details below to improve the information on PRAIRIE VIEW 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.