Organization · NPI-2

Abilene Christian University

Clinic/Center · Abilene, TX

NPI number1831591395
StatusActive
Last updated in NPPESSep 16, 2014

Details

NPI
1831591395
Entity type
Organization (NPI-2)
Legal business name
Abilene Christian University
Organization subpart
No
Enumeration date
Sep 16, 2014
Last updated
Sep 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterAT4915TXYes

Practice location

845 Coliseum Way
Abilene, TX 79601

Phone 325-674-2109

Mailing address

Acu Box 27916
Abilene, TX 79699

Authorized official

Jenny Scruggs
Assistant Athletic Trainer
3256742109

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