Organization
WEST TEXAS A&M UNIVERSITY STUDENT MEDICAL SERVICES
Active
Other names
Student Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
LUANNE RICKWARTZ R.N. (DIRECTOR)
(806) 651-3287
Entity
Organization
Contact information
Practice address
2620 N RUSSEL LONG BLVD, VIRGIL HENSON ACTIVITIES CENTER ROOM 104, CANYON, TX 79016-0001
(806) 651-3287
(806) 651-3289
Mailing address
WTAMU PO BOX 61401, WEST TEXAS A&M UNIVERSITY STUDENT MEDICAL SERVICES, CANYON, TX 79016-0001
(806) 651-3287
(806) 651-3289
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91914669
TPI
TX
Enumeration date
08/31/2006
Last updated
11/19/2021
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