Organization
STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MILLER M.D. (DIRECTOR)
(936) 468-4008
Entity
Organization
Contact information
Practice address
2106 RAGUET ST N, BOX 13058, NACOGDOCHES, TX 75962-0001
(936) 468-4008
(936) 468-1316
Mailing address
2106 RAGUET ST N, BOX 13058, NACOGDOCHES, TX 75962-0001
(936) 468-4008
(936) 468-1316
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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