| Stephen F Austin Community Health Center, Inc | |
|
100 Highway 332 W Ste 1404 Lake Jackson TX 77566-4016 | |
| (281) 824-1480 | |
| Not Available |
| Full Name | Stephen F Austin Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 100 Highway 332 W Ste 1404, Lake Jackson, Texas |
| Authorized Official Name and Position | Mark D Young (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2818241480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen F Austin Community Health Center, Inc 1111 W Adoue St Alvin TX 77511-2718 Ph: (281) 824-1480 | Stephen F Austin Community Health Center, Inc 100 Highway 332 W Ste 1404 Lake Jackson TX 77566-4016 Ph: (281) 824-1480 |
| NPI Number | 1407738701 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 07/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407738701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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