Provider Demographics
NPI:1831100395
Name:TEXAS COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:TEXAS COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-967-4131
Mailing Address - Street 1:950 HIGHWAY 63
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HOUSTON
Mailing Address - State:MO
Mailing Address - Zip Code:65483-2590
Mailing Address - Country:US
Mailing Address - Phone:417-967-4131
Mailing Address - Fax:417-967-5700
Practice Address - Street 1:950 HIGHWAY 63
Practice Address - Street 2:SUITE 500
Practice Address - City:HOUSTON
Practice Address - State:MO
Practice Address - Zip Code:65483-2590
Practice Address - Country:US
Practice Address - Phone:417-967-4131
Practice Address - Fax:417-967-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO512381005Medicaid