| NPI | 1063727048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY MILLER Asst Ad For Sports Medicine 936-468-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |