Provider Demographics
NPI:1982614053
Name:HEALTH AND HUMAN SERVICES COMMISSION
Entity type:Organization
Organization Name:HEALTH AND HUMAN SERVICES COMMISSION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-913-1580
Mailing Address - Street 1:6711 S NEW BRAUNFELS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-3002
Mailing Address - Country:US
Mailing Address - Phone:210-531-7724
Mailing Address - Fax:210-531-7864
Practice Address - Street 1:6711 S NEW BRAUNFELS AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-3002
Practice Address - Country:US
Practice Address - Phone:210-531-7724
Practice Address - Fax:210-531-7864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX060553336L0003X
TX3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138706004Medicaid
2100955OtherPK
TX454011Medicare Oscar/Certification
TXHH4763OtherBCBS PSYCHIATRIC
TX0827974-01Medicaid
TXHH3015OtherBCBS DRUG/ALCOHOL
TX1387060-06Medicaid
TX1387060-04Medicaid
TX00G989Medicare PIN
TX4589012OtherPHARMACY NCPDP NUMBER
TX0638264-01Medicaid