Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Big Spring State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY CARR (ASSOCIATE COMMISSIONER)
(512) 814-9642
Entity
Organization
Contact information
Practice address
1901 N. HWY 87, BIG SPRING, TX 79720-0283
(432) 268-7247
(432) 268-7790
Mailing address
4110 GUADALUPE STREET, MC-2023, AUSTIN, TX 78751-4296
(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
2084P0800X
Psychiatry 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
—
1081010-01
—
TX
05
—
1081010-02
—
TX
05
—
1379182-04
—
TX
05
—
1379182-05
—
TX
05
—
1379182-06
—
TX
05
—
1379182-07
—
TX
01
—
4539459
PHARMACY NCPDP NUMBER
TX
01
—
HH4561
BCBS PSYCHIATRIC
TX
Enumeration date
08/16/2006
Last updated
02/22/2024
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