Provider Demographics
NPI:1598707085
Name:DEPARTMENT OD STATE HEALTH SERVICES
Entity Type:Organization
Organization Name:DEPARTMENT OD STATE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ZOONOSIS CONTROL SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:P
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-571-4118
Mailing Address - Street 1:2301 N BIG SPRING ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-7649
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2301 N BIG SPRING ST
Practice Address - Street 2:SUITE 300
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-7649
Practice Address - Country:US
Practice Address - Phone:432-571-4118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare