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Organization
STEPHEN F AUSTIN STATE UNIVERSITY SPORTS MEDICINE
Active
Organization
STEPHEN F AUSTIN STATE UNIVERSITY SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY MILLER ATC (ASST AD FOR SPORTS MEDICINE)
(936) 468-4550
Entity
Organization
Contact information
Practice address
1936 NORTH ST, SFA SPORTS MEDICINE CLINIC, NACOGDOCHES, TX 75965-3940
(936) 468-4550
(936) 468-4052
Mailing address
1936 NORTH ST, SFA SPORTS MEDICINE CLINIC, NACOGDOCHES, TX 75965-3940
(936) 468-4550
(936) 468-4052
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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