Organization
COLLEGE STATION HOSPITAL LP
Active
Other names
College Station Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1604 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8345
(979) 764-5100
(979) 696-7373
Mailing address
PO BOX 848526, DALLAS, TX 75284-8526
(979) 764-5100
(979) 696-7373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
000071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020860501
—
TX
05
—
022501301
—
TX
Enumeration date
05/15/2006
Last updated
09/13/2017
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