PRAIRIE VIEW A&M UNIVERSITY NPI 1639239874

NPI Information

PRAIRIE VIEW A&M UNIVERSITY is a student health clinic center in Prairie View, TX. PRAIRIE VIEW A&M UNIVERSITY NPI is 1639239874. The provider is registered as an organization entity type.
The provider Other Name Is Owens-franklin Health Center.

The provider's business location address is:

1125 REDA BLAND & OJ BAKER ST
PRAIRIE VIEW, TX
ZIP 77446
Phone: (936) 261-1410
Fax: (936) 261-1452

The provider's authorized official is Glenn E Berry .
The authorized official title is Medical Director and has the following contact phone number (936) 261-1410.

The CLIA number assigned to this NPI record is 45D1052515 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 6/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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