P Praxis·MD
● Active Type 2 · Organization

Stephen F. Austin State University

Clinic/Center·Nacogdoches, TX· NPI 1477807121 · Enumerated 2012 · 13 years on NPI
Stephen F. Austin State University is 1 of 48 clinic/center organizations in Texas.
NPI age
13 years
Enumerated 2012-11-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Patillo
President
Last NPPES update
2014-02-27
Source: monthly bulk 2026-05

How this organization compares

Across 48 active clinic/center providers in Texas.

NPI age
13 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-11Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
712 Hayter, 13010 Sfa Station
Nacogdoches, TX 759623940
📞 9364683506fax 9364684580
Mailing address
712 Hayter, Po Box 13010 Sfa Station
Nacogdoches, TX 759623940
📞 9364683506fax 9364684580

Authorized official

Baker Patillo, PHD
President
📞 9364682201

Specialties

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

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Stephen F. Austin State University Sports Medicine
    Type code 3 recorded 2014-02-27

Practice context

Single-site organization. Only one practice location on file.

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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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