Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
San Angelo State Supported Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SCHALCHLIN (ASSOCIATE COMMISSIONER)
(512) 438-3076
Entity
Organization
Contact information
Practice address
11640 US HIGHWAY 87 N, CARLSBAD, TX 76934-7000
(325) 465-4391
(325) 465-2878
Mailing address
PO BOX 38, CARLSBAD, TX 76934-0038
(325) 465-4391
(325) 465-2878
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
TX
207Q00000X
Family Medicine Physician
—
TX
207R00000X
Internal Medicine Physician
—
TX
207W00000X
Ophthalmology Physician
—
TX
2084P0800X
Psychiatry Physician
—
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
364S00000X
Clinical Nurse Specialist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710801
—
TX
Enumeration date
10/02/2006
Last updated
02/05/2018
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