PRAIRIE VIEW A&M UNIVERSITY


Address: 1125 Reda Bland & Oj Baker St, Prairie View, TX 77446
Phone: 9362611410

PRAIRIE VIEW A&M UNIVERSITY (NPI# 1639239874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639239874
Entity Type Organization
Organization Name PRAIRIE VIEW A&M UNIVERSITY
Other Organization Name OWENS-FRANKLIN HEALTH CENTER
Practice Address 1125 Reda Bland & Oj Baker St
Prairie View
TX 77446
Mailing Address P.o. Box 519 Ms 1413
Prairie View
TX 77446
Practice Telephone 9362611410
Practice Fax Number 9362611452
Mailing Telephone 9362611410
Mailing Fax Number 9362611452
Enumeration Date 2006-12-11
Last Update Date 2018-06-11
Authorized Official Name GLENN E BERRY (MEDICAL DIRECTOR)
Authorized Official Telephone 9362611410
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX CLIA 45D1052515 01

Other Provider/Organization Names

Other Name Type Code
Owens-Franklin Health Center Other Name - Individual/Organization

Office Location

Street Address 1125 REDA BLAND & OJ BAKER ST
City PRAIRIE VIEW
State TX
Zip Code 77446

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841825239 Maryellen Hole Specialist/Technologist 1600 Stadium Drive, Prairie View, TX 77446 2020-03-06
1063059350 Kayla Martinez Johnson Psychologist 1125 Reda Bland Evans St, Prairie View, TX 77446 2019-12-05
1063940369 Ruth Smith Nurse Practitioner 1125 Reda Bland Evans Street, Owens-franklin Health Center, Prairie View A&m Universi, Prairie View, TX 77446 2017-05-31
1013327253 Amor Supply Durable Medical Equipment & Medical Supplies 20707 Emerald Dr., Prairie View, TX 77446 2014-04-28
1295079317 Star of Texas Home Health LLC Home Health 509 Ellen Powell Dr, Prairie View, TX 77446 2012-11-15
1649579533 Owens Franklin Health Center, Prairie View A&m University Clinic/Center Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 2011-03-18
1316101009 Sarah B Williams Social Worker 205 Hill St, Prairie View, TX 77446 2008-07-11
1689725723 Christopher Ethan Bartholomew Dentist 528 Bus Hwy 290, Prairie View, TX 77446 2007-01-16
1962578831 Glenn Edward Berry Internal Medicine Oj Baker At Reda Bland Evans, Prairie View, TX 77446 2006-11-24
1790850691 Fort Bend Family Health Center, Inc. Clinic/Center Reda Bland Evans At O.j. Baker Street, Owen Franklin Health Ctr, 2nd Fl., Prairie View A&m, Prairie View, TX 77446 2006-11-24
Find all providers in zip 77446

Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649579533 Owens Franklin Health Center, Prairie View A&m University Clinic/Center Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 2011-03-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801447669 Wayne Williams Clinic/Center 244 Flightline, Spring Branch, TX 78070-6241 2019-09-24
1528454675 University of Houston Health Center Clinic/Center 100 Uh Health Ctr, Houston, TX 77204-3019 2015-04-15
1114361250 Stephen F. Austin State University Clinic/Center 2106 Raquet St, Nacogdoches, TX 75962-0001 2013-04-19
1669716205 Campbell University Inc Clinic/Center 5050 Spring Valley Rd, Dallas, TX 75244-3995 2012-11-20
1477807121 Stephen F. Austin State University Clinic/Center 712 Hayter, 13010 Sfa Station, Nacogdoches, TX 75962-3940 2012-11-02
1811283294 Aledo Isd Clinic/Center 1008 Bailey Ranch Rd, Aledo, TX 76008-3110 2011-06-23
1316231228 Desoto Isd Clinic/Center 600 Eagle Dr, Desoto, TX 75115-6006 2011-06-08
1952695538 The University of Texas At El Paso Clinic/Center 550 W University Ave, Union Complex East #100, El Paso, TX 79968-8900 2011-06-01
1346551959 University of North Texas Clinic/Center 1800 Chestnut St, Denton, TX 76201 2010-06-29
1427296946 St Marys University Clinic/Center One Camino Santa Maria, San Antonio, TX 78228-8545 2009-01-22
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Competitor

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City PRAIRIE VIEW
Zip Code 77446

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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