Provider Demographics
NPI:1912304411
Name:SETON HEALTHCARE FAMILY
Entity Type:Organization
Organization Name:SETON HEALTHCARE FAMILY
Other - Org Name:SETON HIGHLAND LAKES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR OF PHARMACY: NETWORK OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:512-324-7365
Mailing Address - Street 1:3201 S WATER ST
Mailing Address - Street 2:
Mailing Address - City:BURNET
Mailing Address - State:TX
Mailing Address - Zip Code:78611-4510
Mailing Address - Country:US
Mailing Address - Phone:512-715-3095
Mailing Address - Fax:
Practice Address - Street 1:3201 S WATER ST
Practice Address - Street 2:
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-4510
Practice Address - Country:US
Practice Address - Phone:512-715-3095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18879282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access