# CITY OF AUSTIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HHSD Immunization Program Far South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841455730
- **Authorized official:** MR. KURT SCOTT BECKER (MANAGER, IMMUNIZATIONS)
- **Authorized official phone:** (512) 972-5523

## Contact information

- **Practice address:** 405 W STASSNEY LN, AUSTIN, TX 78745-3146
- **Practice address phone:** (512) 972-6260
- **Practice address fax:** (512) 442-7983
- **Mailing address:** 15 WALLER ST, \#400, AUSTIN, TX 78702-5240
- **Mailing address phone:** (512) 972-5522
- **Mailing address fax:** (512) 972-6225

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2008
- **Last updated:** 07/30/2008