# TEXAS CHRISTIAN UNIVERSITY

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

## Provider details

- **NPI number:** 1538381207
- **Authorized official:** BRIAN GUTIERREZ (VICE CHANCELLOR FOR FINANCE AND ADM)
- **Authorized official phone:** (817) 257-7815

## Contact information

- **Practice address:** 2825 STADIUM DRIVE, BROWN LUPTON HEALTH CENTER, FORT WORTH, TX 76109
- **Practice address phone:** (817) 257-7940
- **Practice address fax:** (817) 257-7279
- **Mailing address:** BOX 297400, TEXAS CHRISTIAN UNIVERSITY BROWN LUPTON HEALTH CENTER, FORT WORTH, TX 76129

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020