Provider Demographics
NPI:1003416983
Name:TEXAS HEALTH SERVICES AUTHORITY
Entity Type:Organization
Organization Name:TEXAS HEALTH SERVICES AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:GOOCH
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:512-329-2730
Mailing Address - Street 1:901 SOUTH MOPAC EXPRESSWAY
Mailing Address - Street 2:BUILDING 1, SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-329-2730
Mailing Address - Fax:
Practice Address - Street 1:901 SOUTH MOPAC EXPRESSWAY
Practice Address - Street 2:BUILDING 1, SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-329-2730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Single Specialty