Provider Demographics
NPI:1124136932
Name:DENTON COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:DENTON COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-349-2912
Mailing Address - Street 1:535 S LOOP 288
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-4502
Mailing Address - Country:US
Mailing Address - Phone:940-349-2900
Mailing Address - Fax:940-349-2905
Practice Address - Street 1:535 S LOOP 288
Practice Address - Street 2:SUITE 1003
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-4502
Practice Address - Country:US
Practice Address - Phone:940-349-2900
Practice Address - Fax:940-349-2905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD-4010251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136360805Medicaid
TX017456701OtherAMGTSTEPS
TX017456701Medicaid
TX017456701Medicaid