OrganizationActive
Texas A&m University
NPI 1588030241 · Sports Medicine (Preventive Medicine) Physician · College Station, TX
Provider details
- NPI number
- 1588030241
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phil Hedrick, Assistant A.d. Athletic Training(979) 862-2930
- License
- AT5667 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12 John David Crow Blvd
College Station, TX 77843
Phone: (979) 845-3121
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30017
College Station, TX 77842-3017
Registry dates
- Enumerated
- 2015-08-18
- Last updated
- 2015-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.