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Organization

TEXAS A&M UNIVERSITY

Active
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Organization

TEXAS A&M UNIVERSITY

Active
Parent organization
TEXAS A&M UNIVERISTY
Other names
TAMU Sports Medicine & Physcial Therapy Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
TEXAS A&M UNIVERISTY
Authorized official
MATTHEW SCOTT KEE (PHYSICAL THERAPIST)
(979) 845-3121
Entity
Organization

Contact information

Practice address
161 WELLBORN RD, BRIGHT FOOTBALL COMPLEX, COLLEGE STATION, TX 77843-0001
(979) 845-3121
(979) 847-8514
Mailing address
PO BOX 30017, COLLEGE STATION, TX 77842-3017
(979) 845-3121
(979) 847-8514

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1165990
TX
261QP2300X
Primary Care Clinic/Center
TX

Other

Enumeration date
06/16/2009
Last updated
11/17/2011
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