# HEALTH AND HUMAN SERVICES COMMISSION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** San Antonio State Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982614053
- **Authorized official:** LINDA GARNETT (PROGRAM SUPERVISOR)
- **Authorized official phone:** (512) 913-1580

## Contact information

- **Practice address:** 6711 S NEW BRAUNFELS AVE STE 100, SAN ANTONIO, TX 78223-3002
- **Practice address phone:** (210) 531-7724
- **Practice address fax:** (210) 531-7864
- **Mailing address:** 6711 S NEW BRAUNFELS AVE STE 100, SAN ANTONIO, TX 78223-3002
- **Mailing address phone:** (210) 531-7724
- **Mailing address fax:** (210) 531-7864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 06055 | TX | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 11/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 138706004 | — | TX |
| 01 | — | 2100955 | PK | — |