Provider Demographics
NPI: | 1801981824 |
---|---|
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: | |
Authorized Official - First Name: | SCOTT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SCHALCHLIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 512-438-3076 |
Mailing Address - Street 1: | PO BOX 451 |
Mailing Address - Street 2: | |
Mailing Address - City: | ABILENE |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 79604-0451 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 325-692-4053 |
Mailing Address - Fax: | 325-795-3854 |
Practice Address - Street 1: | 2501 MAPLE ST |
Practice Address - Street 2: | |
Practice Address - City: | ABILENE |
Practice Address - State: | TX |
Practice Address - Zip Code: | 79602-5058 |
Practice Address - Country: | US |
Practice Address - Phone: | 325-692-4053 |
Practice Address - Fax: | 325-795-3037 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-10-04 |
Last Update Date: | 2018-02-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 208800000X, 208D00000X, 213E00000X, 207Q00000X, 207W00000X, 207Y00000X, 207N00000X, 2084N0400X, 2084P0800X, 2085R0001X, 2085R0202X, 208600000X, 2086S0122X, 315P00000X, 315P00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | Group - Multi-Specialty | |
No | 208800000X | Allopathic & Osteopathic Physicians | Urology | Group - Multi-Specialty | |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty | |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | Group - Multi-Specialty | |
No | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | Group - Multi-Specialty | |
No | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | Group - Multi-Specialty | |
No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
No | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | Group - Multi-Specialty |
No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Multi-Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 2086S0122X | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 000710001 | Medicaid | |
TX | 00QF67 | Medicare PIN | |
TX | DC6592 | Medicare PIN |