Provider Demographics
NPI:1669785853
Name:TEXAS SOUTHERN UNIVERSITY
Entity type:Organization
Organization Name:TEXAS SOUTHERN UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FOR STUDENT SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-313-7519
Mailing Address - Street 1:3100 CLEBURNE ST
Mailing Address - Street 2:STUDENT HEALTH CENTER #104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-4501
Mailing Address - Country:US
Mailing Address - Phone:713-313-7173
Mailing Address - Fax:713-313-7817
Practice Address - Street 1:3100 CLEBURNE ST
Practice Address - Street 2:STUDENT HEALTH CENTER
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4501
Practice Address - Country:US
Practice Address - Phone:713-313-7173
Practice Address - Fax:713-313-7817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health