Provider Demographics
NPI:1992713119
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:ASSOCIATE COMMISSIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-814-9642
Mailing Address - Street 1:701 W 51ST ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2312
Mailing Address - Country:US
Mailing Address - Phone:512-438-5618
Mailing Address - Fax:512-438-4220
Practice Address - Street 1:1200 E BRIN ST
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-2938
Practice Address - Country:US
Practice Address - Phone:972-551-8826
Practice Address - Fax:972-551-8513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0638256-01Medicaid
TX4537431OtherPHARMACY NCPDP NUMBER
TX1379190-03Medicaid
TX1379190-06Medicaid
TX0827966-01Medicaid
TX1379190-04Medicaid
TXHH4670OtherBCBS PSYCHIATRIC
TX1379190-05Medicaid
TX1379190-03Medicaid
TX454006Medicare Oscar/Certification