Healthcare Provider Details

I. General information

NPI: 1982515458
Provider Name (Legal Business Name): STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W MEDICAL CENTER BLVD STE 303A
WEBSTER TX
77598-4009
US

IV. Provider business mailing address

1111 W ADOUE ST
ALVIN TX
77511-2718
US

V. Phone/Fax

Practice location:
  • Phone: 281-824-1480
  • Fax:
Mailing address:
  • Phone: 281-824-1480
  • Fax: 281-220-6407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINH TRAN
Title or Position: CFO
Credential:
Phone: 281-919-4789