Organization · Type 2 NPI

Prairie View A&m University

Student Health Clinic/Center · Prairie View, TX

NPI number 1639239874 Active

Practice location

1125 Reda Bland & Oj Baker St
Prairie View, TX 77446

Call (936) 261-1410 Map

Fax (936) 261-1452

Mailing address

P.o. Box 519 Ms 1413
Prairie View, TX 77446

Specialties and licenses

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

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

Other student health clinic/center providers in Prairie View

Owens Franklin Health Center, Prairie View A&m UniversityStudent Health Clinic/Center Prairie View, TX NPI 1649579533

See all in Prairie View →

NPI record

NPI: 1639239874
Entity type: Organization (Type 2)
Issued: Dec 11, 2006
Last updated: Jun 11, 2018
Status: Active

Other names

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Owens-Franklin Health Center · other name
Owens-Franklin Health Center · other name

Authorized official

Glenn E Berry, MD
Medical Director
(936) 261-1410

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 1639239874

Prairie View A&m University's National Provider Identifier is 1639239874, issued on Dec 11, 2006. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Prairie View, TX. The record was last updated on Jun 11, 2018.