| Stephen F. Austin State Univ. Health Service | |
|
2106 Raguet St N Box 13058 Nacogdoches TX 75962-0001 | |
| (936) 468-4008 | |
| (936) 468-1316 |
| Full Name | Stephen F. Austin State Univ. Health Service |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2106 Raguet St N, Nacogdoches, Texas |
| Authorized Official Name and Position | John Miller (DIRECTOR) |
| Authorized Official Contact | 9364684008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen F. Austin State Univ. Health Service 2106 Raguet St N Box 13058 Nacogdoches TX 75962-0001 Ph: (936) 468-4008 | Stephen F. Austin State Univ. Health Service 2106 Raguet St N Box 13058 Nacogdoches TX 75962-0001 Ph: (936) 468-4008 |
| NPI Number | 1265501076 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265501076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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