# DEPT OF STATE HEALTH SERVICES WIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DSHS WIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639337488
- **Authorized official:** ROBIN EDWARDS WCS,CLC (PUBLIC HEALTH TECH III)
- **Authorized official phone:** (903) 885-8022

## Contact information

- **Practice address:** 1400 COLLEGE ST, STE 167, SULPHUR SPRINGS, TX 75482-3469
- **Practice address phone:** (903) 885-8022
- **Practice address fax:** (903) 439-9330
- **Mailing address:** 1400 COLLEGE STREET, \#167, SULPHUR SPRINGS, TX 75482
- **Mailing address phone:** (903) 885-8022
- **Mailing address fax:** (903) 439-9330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 05/29/2008