# UNIVERSITY OF TEXAS ARLINGTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437461704
- **Authorized official:** MR. ROY RUDEWICK ATC (HEAD ATHLETIC TRAINER)
- **Authorized official phone:** (817) 272-2265

## Contact information

- **Practice address:** 1309 W MITCHELL ST, ARLINGTON, TX 76013-2330
- **Practice address phone:** (817) 272-2265
- **Practice address fax:** (817) 272-7388
- **Mailing address:** 1309 W MITCHELL ST, ARLINGTON, TX 76013-2330
- **Mailing address phone:** (817) 272-2265
- **Mailing address fax:** (817) 272-7388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2010
- **Last updated:** 07/02/2010