Texas A&m University

Organization Sports Medicine (Preventive Medicine) Physician · NPI 1588030241

Texas A&m University provides Sports Medicine (Preventive Medicine) Physician services in College Station, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in: TX
In the registry since: 2015

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Practice location Address checks out

12 John David Crow Blvd
College Station, TX 77843 Not confirmed with CMS for 11 years — call before visiting
Phone: (979) 845-3121

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary)	Taxonomy 2083S0010X · Licence AT5667 (TX)

Record details

NPI number	1588030241
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Phil Hedrick — Assistant A.D. Athletic Training · (979) 862-2930
NPI enumerated	August 18, 2015
Last updated in NPPES	August 18, 2015
Mailing address	Po Box 30017, College Station, TX 77842-3017