Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
El Paso Psychiatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization
Contact information
Practice address
4615 ALAMEDA AVENUE, EL PASO, TX 79905-2702
(915) 532-2202
(915) 534-5509
Mailing address
4110 GUADALUPE STREET, MC-2023, AUSTIN, TX 78751-2683
(512) 206-5284
(512) 206-5302
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
TX
103TC0700X
Clinical Psychologist
—
TX
183500000X
Pharmacist
—
TX
2084F0202X
Forensic Psychiatry Physician
—
TX
2084N0400X
Neurology Physician
—
TX
2084P0804X
Child & Adolescent Psychiatry Physician
—
TX
2084P0805X
Geriatric Psychiatry Physician
—
TX
208D00000X
General Practice Physician
—
TX
363A00000X
Physician Assistant
—
TX
363L00000X
Nurse Practitioner
—
TX
364S00000X
Clinical Nurse Specialist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127516-01
—
TX
05
—
1127516-03
—
TX
05
—
1127516-04
—
TX
05
—
1127516-05
—
TX
05
—
1127516-07
—
TX
01
—
4539118
PHARMACY NCPDP NUMBER
TX
01
—
HH0938
BCBS PSYCHIATRIC
TX
Enumeration date
08/16/2006
Last updated
02/22/2024
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