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General NPI Number Information
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NPI Number | 1780572339
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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 | 06/24/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 12871 EAST FWY
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City | HOUSTON
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State | TX
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Zip | 77015-5707
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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 |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. MARK D 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 | 208000000X
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Taxonomy Name | Pediatrics 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 | 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 #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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