# COLLEGE STATION HOSPITAL LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** College Station Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467403477
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (615) 925-4565

## Contact information

- **Practice address:** 1604 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8345
- **Practice address phone:** (979) 764-5100
- **Practice address fax:** (979) 696-7373
- **Mailing address:** PO BOX 848526, DALLAS, TX 75284-8526
- **Mailing address phone:** (979) 764-5100
- **Mailing address fax:** (979) 696-7373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 000071 | TX | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 09/13/2017