P Praxis·MD
● Active Type 2 · Organization

Stephen F Austin State University Sports Medicine

Clinic/Center·Nacogdoches, TX· NPI 1063727048 · Enumerated 2010 · 15 years on NPI
Stephen F Austin State University Sports Medicine is 1 of 48 clinic/center organizations in Texas.
NPI age
15 years
Enumerated 2010-08-13
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Asst Ad For Sports Medicine
Last NPPES update
2010-08-13
Source: monthly bulk 2026-05

How this organization compares

Across 48 active clinic/center providers in Texas.

NPI age
15 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
1936 North St, Sfa Sports Medicine Clinic
Nacogdoches, TX 759653940
📞 9364684550fax 9364684052
Mailing address
1936 North St, Sfa Sports Medicine Clinic
Nacogdoches, TX 759653940
📞 9364684550fax 9364684052

Authorized official

Sandy Miller, ATC
Asst Ad For Sports Medicine
📞 9364684550

Individual providers at this organization

8 individual providers on file at this primary practice address.

  • Sydney Dailey Student in an Organized Health Care Education/Training Program NPI 1346744802
  • Geneva Diosdado Student in an Organized Health Care Education/Training Program NPI 1154802841
  • Jane Grayson, PHD, ATC, LAT Specialist/Technologist NPI 1437528379
  • Loree McCary, ATC, LAT Physical Medicine & Rehabilitation NPI 1891000139
  • Stephanie Medina, ATC Specialist/Technologist NPI 1609320571
  • Alejandro Rodriguez, MS, LAT, ATC Specialist/Technologist NPI 1811417785
  • Jeff Smith, MS, ATC, LAT Specialist/Technologist NPI 1912381047
  • Bailey Williams, MAT, LAT, ATC Specialist/Technologist NPI 1073305686

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QS1000X

Practice context

Multi-provider organization. 8 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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