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Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
San Antonio State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization
Contact information
Practice address
6711 S NEW BRAUNFELS AVE STE 100, SAN ANTONIO, TX 78223-3002
(210) 531-7724
(210) 531-7864
Mailing address
6711 S NEW BRAUNFELS AVE STE 100, SAN ANTONIO, TX 78223-3002
(210) 531-7724
(210) 531-7864
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
06055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138706004
—
TX
01
—
2100955
PK
—
Enumeration date
08/09/2006
Last updated
11/17/2023
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