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General NPI Number Information
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NPI Number | 1417414343
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Entity Type | Organization
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Legal Business Name | STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 792 S HWY 288-B
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City | CLUTE
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State | TX
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Zip | 77531-5712
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Country | US
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Telephone | 281-824-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 W ADOUE ST
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City | ALVIN
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State | TX
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Zip | 77511-2718
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Country | US
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Telephone | 281-824-1480
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Fax | 281-220-6407
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Authorized Official
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Title or Position | CFO
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Name | LINH TRAN
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Credential |
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Telephone | 281-919-4789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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