| Texas Christian University | |
|
2825 Stadium Drive Brown Lupton Health Center Fort Worth TX 76109 | |
| (817) 257-7940 | |
| (817) 257-7279 |
| Full Name | Texas Christian University |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2825 Stadium Drive, Fort Worth, Texas |
| Authorized Official Name and Position | Brian Gutierrez (VICE CHANCELLOR FOR FINANCE AND ADM) |
| Authorized Official Contact | 8172577815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Christian University Box 297400 Texas Christian University Brown Lupton Health Center Fort Worth TX 76129 Ph: () - | Texas Christian University 2825 Stadium Drive Brown Lupton Health Center Fort Worth TX 76109 Ph: (817) 257-7940 |
| NPI Number | 1538381207 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538381207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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