NPI 1043314263
Health and Human Services Commission
Practice location
- Address
- 4730 College Drive, Vernon, TX 76384-4009
- Phone
- (940) 552-9901
- Fax
- (940) 553-2523
- Mailing address
- 4110 Guadalupe St Mc-2023, Austin, TX 78751-4296
Authorised official
- Name
- Kristy Carr
- Title
- Associate Commissioner
- Phone
- (512) 814-6942
Registered specialties (13)
Clinical Neuropsychologist
Primary
Psychologist
Clinical Psychologist
Forensic Psychologist
Pharmacist
Forensic Psychiatry Physician
Psychiatry Physician
Child & Adolescent Psychiatry Physician
Geriatric Psychiatry Physician
General Practice Physician
Physician Assistant
Nurse Practitioner
Clinical Nurse Specialist
Registry record
- NPI
- 1043314263
- Entity type
- Organization
- NPI issued
- 8 Sep 2006
- Record last updated
- 22 Feb 2024
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.