Organization
DEPARTMENT OF STATE HEALTH SERVICES
Active
Other names
Texas DSHS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA SUZANNE KELLY-KING (BILLING BRANCH MANAGER)
(512) 458-7111
Entity
Organization
Contact information
Practice address
1100 W 49TH ST, MAIL CODE 1917, ROOM G-109, AUSTIN, TX 78756-3101
(512) 458-7111
(512) 458-7588
Mailing address
1100 W 49TH ST, MAIL CODE 1917, ROOM G-109, AUSTIN, TX 78756-3101
(512) 458-7111
(512) 458-7588
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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