Organization
TEXAS A&M UNIVERSITY
Active
Organization
TEXAS A&M UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL HEDRICK ATC, LAT (ASSISTANT A.D. ATHLETIC TRAINING)
(979) 862-2930
Entity
Organization
Contact information
Practice address
12 JOHN DAVID CROW BLVD, COLLEGE STATION, TX 77843
(979) 845-3121
Mailing address
PO BOX 30017, COLLEGE STATION, TX 77842-3017
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
AT5667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT5667
ATHLETIC TRAINING
TX
Enumeration date
08/18/2015
Last updated
08/18/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up