NPI 1649407834
Texas Department of State Health Services
Practice location
- Address
- 1100 West 49th Street, Austin, TX 78714-9347
- Phone
- (512) 458-7111
- Fax
- (512) 458-7588
- Mailing address
- 1100 West 49th Street P.O. Box 149347, Austin, TX 78714-9347
Authorised official
- Name
- Barbara Suzanne Kelly-King
- Title
- Revenue Management Unit Manager
- Phone
- (512) 458-7111
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1649407834
- Entity type
- Organization
- NPI issued
- 16 Jun 2009
- Record last updated
- 23 Sep 2009
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.