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General NPI Number Information
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NPI Number | 1578730818
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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 | 05/15/2008
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1111 W. ADOUE STREET
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City | ALVIN
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State | TX
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Zip | 77511
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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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Provider Business Mailing Address
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Address Line | 1111 W. ADOUE STREET
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City | ALVIN
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State | TX
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Zip | 77511
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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 | CHIEF EXECUTIVE OFFICER
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Name | MR. MARK DAVID YOUNG
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Credential |
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Telephone | 281-824-1480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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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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