NPI 1295765469

Department of State Health Services

Organisation Public Health or Welfare Agency Austin, TX

Practice location

Address: 1100 W 49th St Mail Code 1917, Room G-109, Austin, TX 78756-3101
Phone: (512) 458-7111
Fax: (512) 458-7588

Authorised official

Name: Barbara Suzanne Kelly-King
Title: Billing Branch Manager
Phone: (512) 458-7111

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Registry record

NPI: 1295765469
Entity type: Organization
NPI issued: 4 Jul 2006
Record last updated: 22 Aug 2020

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.