Provider Demographics
NPI:1265793848
Name:HAYS COUNTY PERSONAL HEALTH DEPARTMENT
Entity type:Organization
Organization Name:HAYS COUNTY PERSONAL HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DEPARTMENT HEALTH AUTHORITY
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-787-7283
Mailing Address - Street 1:401 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7771
Mailing Address - Country:US
Mailing Address - Phone:512-393-5520
Mailing Address - Fax:
Practice Address - Street 1:401 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7771
Practice Address - Country:US
Practice Address - Phone:512-393-5520
Practice Address - Fax:512-393-5530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local