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General NPI Number Information
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NPI Number | 1063200137
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Entity Type | Organization
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Legal Business Name | TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 8447 JOHN SHARP PKWY
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City | BRYAN
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State | TX
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Zip | 77807-1552
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Country | US
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Telephone | 979-436-0587
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Fax | 979-436-0046
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Provider Business Mailing Address
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Address Line | 8447 JOHN SHARP PKWY
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City | BRYAN
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State | TX
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Zip | 77807-1552
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Country | US
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Telephone | 979-436-0587
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Fax | 979-436-0046
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF FINANCE
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Name | ROBIN FULLER
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Credential |
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Telephone | 979-436-0398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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