Organization Active NPI

Tarleton State University

Doing business as Tarleton State University Student Health Services

  • Sports Medicine (Family Medicine) Physician
  • Stephenville, TX
National Provider Identifier
1215727722
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
TARLETON STATE UNIVERSITY
Doing business as
Tarleton State University Student Health Services
Practice address
600 N. Rome
Stephenville, TX 76401
Phone
(254) 968-9936
Fax
(254) 968-9723
NPI assigned
May 8, 2025
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TARLETON STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kayla Buzbee
Title
Office Manager
Phone
(254) 968-9936

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X Primary
Sports Medicine (Internal Medicine) Physician 207RS0010X
Health Service Clinic/Center 261QH0100X
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

600 N. Rome
Stephenville, TX 76401

Mailing address

Box T-0360
Stephenville, TX 76401
Phone (254) 968-9936

Other names 1

  • Tarleton State University Student Health Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0903180Tarleton State Univ - Student HLTH Ctr600 N Rome, Stephenville, TX 76401Provider-performed microscopyJul 12, 2027

National Provider Directory

National Provider Directory
Part of
Tarleton State University

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1215727722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX T-0360",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "76401",
            "telephone_number": "254-968-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. ROME",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "76401",
            "telephone_number": "254-968-9936",
            "fax_number": "254-968-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARLETON STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARLETON STATE UNIVERSITY",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "BUZBEE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-968-9936"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarleton State University Student Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tarleton State University Student Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.