Provider Demographics
NPI:1497811020
Name:CITY OF GARLAND ACCOUNTING DEPT
Entity Type:Organization
Organization Name:CITY OF GARLAND ACCOUNTING DEPT
Other - Org Name:GARLAND HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-205-3373
Mailing Address - Street 1:206 CARVER DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-7361
Mailing Address - Country:US
Mailing Address - Phone:972-205-3370
Mailing Address - Fax:972-205-3372
Practice Address - Street 1:206 CARVER DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-7361
Practice Address - Country:US
Practice Address - Phone:972-205-3370
Practice Address - Fax:972-205-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1009251K00000X
TX530964251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD66774Medicare UPIN
PH0035Medicare PIN
TX=========Medicaid