NPI 1023391885

Integrated Mental Health Services

Organisation Health Maintenance Organization Austin, TX

Practice location

Address: 504 Lavaca Street Suite 850, Austin, TX 78701-2939
Phone: (512) 406-7200

Authorised official

Name: Samuel Andrew Donaldson
Title: Chief Executive Officer
Phone: (512) 406-7515

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1023391885
Entity type: Organization
NPI issued: 27 Sep 2011
Record last updated: 27 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.