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Organization
TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
Active
Organization
TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
Active
Other names
Texas A&M Physicians - Round Rock
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W. LEWIS CPA (EXECUTIVE DIRECTOR)
(979) 436-0500
Entity
Organization
Contact information
Practice address
3950 N AW GRIMES BLVD, ROUND ROCK, TX 78665-3540
(979) 436-0500
(979) 776-6905
Mailing address
1114 TAMU COM, COLLEGE STATION, TX 77843-1114
(979) 436-0500
(979) 776-6905
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005101
—
TX
Enumeration date
10/21/2008
Last updated
10/02/2015
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