Organization
DEPARTMENT OF STATE HEALTH SERVICES
Active
Organization
DEPARTMENT OF STATE HEALTH SERVICES
Active
Other names
Texas DSHS - HSR 1 Lubbock
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY WILSON (DEPUTY REGIONAL DIRECTOR)
(806) 744-3577
Entity
Organization
Contact information
Practice address
6302 LOLA, LUBBOCK, TX 79424
(806) 744-3577
(806) 783-6475
Mailing address
1100 W. 49TH ST., AUSTIN, TX 78756
(806) 458-7111
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
H4610
TX
261QP0905X
State or Local Public Health Clinic/Center
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133560602
—
TX
05
—
135248602
—
TX
05
—
136129702
—
TX
05
—
136130504
—
TX
05
—
136368102
—
TX
05
—
136480402
—
TX
05
—
138359805
—
TX
05
—
138359808
—
TX
Enumeration date
11/28/2006
Last updated
08/31/2010
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