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Organization

STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC

Active
Other names
MYCHN TECHNOLOGY DRIVE
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY GAINES (CREDENTIALING COORDINATOR II)
(281) 824-1480
Entity
Organization

Contact information

Practice address
4005 TECHNOLOGY DRIVE, SUITE 1190, ANGLETON, TX 77515-2557
(281) 824-1480
(281) 220-6407
Mailing address
1612 CALLAWAY DR, ALVIN, TX 77511-3743
(281) 824-1480
(281) 220-6407

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
06/15/2023
Last updated
07/21/2025
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