Texas Department of State Health Services

NPI #1649407834 in Austin, Texas

Provider Information

NPI Number
1649407834
Entity Type
Organization
Organization Name
Texas Department of State Health Services
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jun 16, 2009
Last Updated
Sep 23, 2009

Practice Location

Address
1100 WEST 49TH STREET
City
Austin
State
Texas
ZIP Code
78714-9347
Phone
(512) 458-7111

Authorized Official

Name
MS. BARBARA SUZANNE KELLY-KING
Title
REVENUE MANAGEMENT UNIT MANAGER
Phone
(512) 458-7111

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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