NPI | 1265983852 |
---|---|
Doing Business As | STEPHEN F AUSTIN ADMINISTRATIVE OFFICE |
Entity Type | Organization |
Authorized Contact | MARK YOUNG CEO 281-824-1480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2016-10-18 |
Last Update Date | 2025-04-01 |