Organization · Type 2 NPI

Tarleton State University

Sports Medicine (Family Medicine) Physician · Stephenville, TX

NPI number 1215727722 Active

Practice location

600 N. Rome
Stephenville, TX 76401

Call (254) 968-9936 Map

Fax (254) 968-9723

Mailing address

Box T-0360
Stephenville, TX 76401

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	None listed
Sports Medicine (Internal Medicine) Physician	207RS0010X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Student Health Clinic/Center	261QS1000X	None listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

NPI record

NPI: 1215727722
Entity type: Organization (Type 2)
Issued: May 8, 2025
Last updated: May 20, 2025
Status: Active
Subpart: Yes of Tarleton State University

Other names

<unavail>
Tarleton State University Student Health Services · doing business as
Tarleton State University Student Health Services · doing business as

Authorized official

Kayla Buzbee
Office Manager
(254) 968-9936

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215727722

Tarleton State University's National Provider Identifier is 1215727722, issued on May 8, 2025. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Stephenville, TX. The record was last updated on May 20, 2025.