Organization
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC.
Active
Other names
MyCHN Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DAVID YOUNG MBA (CHIEF EXECUTIVE OFFICER)
(281) 824-1480
Entity
Organization
Contact information
Practice address
215 OAK DR S, LAKE JACKSON, TX 77566-5629
(281) 824-1480
Mailing address
1346 BROADWAY ST, PEARLAND, TX 77581-6482
(281) 824-1480
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/21/2025
Last updated
11/25/2025
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