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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