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Organization

NORTH TEXAS STATE HOSPITAL WICHITA FALLS

Active
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Organization

NORTH TEXAS STATE HOSPITAL WICHITA FALLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JALAYNE GOSS (REIMBURSEMENT MANAGER)
(640) 552-4055
Entity
Organization

Contact information

Practice address
6515 KEMP BLVD, WICHITA FALLS, TX 76308-5419
(940) 692-1992
Mailing address
6515 KEMP BLVD, WICHITA FALLS, TX 76308-5419
(940) 692-1992

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
AP126371
TX

Other

Enumeration date
07/15/2015
Last updated
07/15/2015
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