Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Wichita Falls State Hospital, North Texas State Hospital (WF campus)
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR VI)
(512) 658-4099
Entity
Organization
Contact information
Practice address
6515 KEMP BLVD., WICHITA FALLS, TX 76308-5419
(940) 689-5201
(940) 689-5784
Mailing address
909 W 45TH ST BLDG 634, AUSTIN, TX 78751-2803
(512) 658-4099
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
—
0211955-01
—
TX
05
—
0638249-01
—
TX
05
—
0827958-01
—
TX
05
—
1372468-02
—
TX
05
—
1372468-03
—
TX
05
—
1372468-04
—
TX
01
—
4538344
PHARMACY NCPDP NUMBER
TX
01
—
HH3005
BCBS DRUG/ALCOHOL
TX
01
—
HH4614
BCBS PSYCHIATRIC
TX
Enumeration date
09/08/2006
Last updated
09/15/2025
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