TEXAS A&M UNIVERSITY
NPI 1588030241
Preventive Medicine - Sports Medicine in College Station, TX

Q: What is Texas A&m University's NPI number?

The NPI number for Texas A&m University is 1588030241. It was assigned to this organization in the NPPES registry on August 18, 2015.

Q: What is Texas A&m University's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

Active since August 18, 2015

12 JOHN DAVID CROW BLVD, COLLEGE STATION, TX 77843(979) 845-3121 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Texas A&m University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEXAS A&M UNIVERSITY (NPI 1588030241) is a healthcare organization registered as a sports medicine in College Station, Texas and active in the NPI registry since August 2015. The organization lists Phil Hedrick, Assistant A.d. Athletic Training, as its authorized official.

NPPES Registry Identity

NPI1588030241

Entity TypeOrganization

Primary Taxonomy2083S0010X

Legal Business NameTEXAS A&M UNIVERSITY

Location Address12 JOHN DAVID CROW BLVDCollege Station, TX 77843

Mailing AddressPo Box 30017College Station, TX 77842-3017

Phone(979) 845-3121

Organization SubpartNo

Authorized OfficialPhil HedrickAssistant A.d. Athletic Training · (979) 862-2930

Enumeration DateAugust 18, 2015

✔ NPI 1588030241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083S0010X

License✔ Licensed in TX · AT5667

Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

12 JOHN DAVID CROW BLVD, College Station, TX 77843

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Other Identifiers 1

OtherAT5667TX · Athletic Training

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN DONALD MULLINNIX B.S

Student in an Organized Health Care Education/Training Program

12 JOHN DAVID CROW BLVD
COLLEGE STATION, TX 77843

Brazos County (979) 218-7743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Texas A&m University's NPI number?

The NPI number for Texas A&m University is 1588030241. It was assigned to this organization in the NPPES registry on August 18, 2015.

Where is Texas A&m University located?

Texas A&m University is located at 12 John David Crow Blvd, College Station, TX 77843. The listed phone number is (979) 845-3121.

What is Texas A&m University's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Texas A&m University was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.