Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen F Austin Community Health Center, Inc

Organization Pediatrics Physician · NPI 1083574842

Stephen F Austin Community Health Center, Inc is a Pediatrics Physician in Lake Jackson, Texas. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Lake Rd Ste 800B
Lake Jackson, TX 77566-4983
Phone: (281) 824-1480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1083574842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Young — Ceo · (281) 824-1480
Other names Mychn Kids Way
NPI enumeratedNovember 14, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address1111 W Adoue St, Alvin, TX 77511-2718

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