| Organization Name: | TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER |
| NPI Number: | 1063699312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN W. LEWIS (INTERIM EXECUTIVE DIRECTOR & CFO) |
| Mailing Address: | 2900 E 29th St Bryan |
| State: | TX US |
| Postal Code: | 778022622 |
| Phone Number: | 9797768440 |
| Fax Number: | 9797766905 |
| NPI Enumeration Date: | 01/29/2008 |
| NPI Last Update Date: | 06/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |