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Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Austin State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR VI)
(512) 913-1580
Entity
Organization
Contact information
Practice address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 419-2666
(512) 419-2683
Mailing address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 206-5011
(512) 206-5302
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
TX
3336L0003X
Long Term Care Pharmacy
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211948-01
—
TX
05
—
0827875-01
—
TX
05
—
0937807-01
—
TX
05
—
1218281-01
—
TX
05
—
1218281-02
—
TX
05
—
1218281-04
—
TX
01
—
4539637
PHARMACY NCPDP NUMBER
TX
01
—
HH3010
BCBS DRUG/ALCOHOL
TX
01
—
HH4750
BCBS PSYCHIATRIC
TX
Enumeration date
07/31/2006
Last updated
11/08/2022
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