| NPI | 1477807121 |
|---|---|
| Doing Business As | STEPHEN F. AUSTIN STATE UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BAKER PATILLO President 936-468-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2014-02-27 |