NPI age
8 years
Enumerated 2018-01-04
● Active Type 2 · Organization
Subpart
Stephen F Austin Community Health Center, Inc
Stephen F Austin Community Health Center, Inc is 1 of 894 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Credentialing Coordinator
Last NPPES update
2024-03-26
Source: monthly bulk 2026-05
How this organization compares
Across 894 active clinic/center providers in Texas.
NPI age
8 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 28% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
2360 Gulf Fwy S, Ste 100c
League City, TX 775736448
Mailing address
2360 Gulf Fwy S, Ste 100c
League City, TX 775736448
Authorized official
Brandy Renee Smith
Credentialing Coordinator
📞 2818241480
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 45D2151249 | CLIA |
| 05 (TX) | 399363601 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Victory Lakes Family Care
Practice context
Single-site organization. Only one practice location on file.
Subpart of Stephen F Austin Community Health Center, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.