Organization · Type 2 NPI

West Texas A&m University Student Medical Services

Student Health Clinic/Center · Canyon, TX

NPI number 1407967599 Active

Practice location

2620 N Russel Long Blvd, Virgil Henson Activities Center Room 104
Canyon, TX 79016-0001

Call (806) 651-3287 Map

Fax (806) 651-3289

Mailing address

Wtamu PO Box 61401, West Texas A&m University Student Medical Services
Canyon, TX 79016-0001

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

NPI record

NPI: 1407967599
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Nov 19, 2021
Status: Active

Other names

<unavail>
Student Medical Services · former legal business name
Student Medical Services · former legal business name

Authorized official

Luanne Rickwartz, R.N.
Director
(806) 651-3287

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 1407967599

West Texas A&m University Student Medical Services's National Provider Identifier is 1407967599, issued on Aug 31, 2006. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Canyon, TX. The record was last updated on Nov 19, 2021.