# TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas A&M Physicians - Round Rock
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992957963
- **Authorized official:** MR. JOHN W. LEWIS CPA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (979) 436-0500

## Contact information

- **Practice address:** 3950 N AW GRIMES BLVD, ROUND ROCK, TX 78665-3540
- **Practice address phone:** (979) 436-0500
- **Practice address fax:** (979) 776-6905
- **Mailing address:** 1114 TAMU COM, COLLEGE STATION, TX 77843-1114
- **Mailing address phone:** (979) 436-0500
- **Mailing address fax:** (979) 776-6905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200005101 | — | TX |