Organization
TEXAS A&M UNIVERSITY
Active
Other names
Texas A&M Managed Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWN HANDY (AGENT)
18005559073
Entity
Organization
Contact information
Practice address
161 WELLBORN ROARD, BRIGHT COMPLEX, COLLEGE STATION, TX 77843-0001
(979) 845-3121
(972) 367-3451
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
10/27/2015
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