Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Austin State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR VI)
(512) 913-1580
Entity
Organization
Contact information
Practice address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 419-2666
(512) 419-2683
Mailing address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 206-5011
(512) 206-5302
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
TX
3336L0003X
Long Term Care Pharmacy
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211948-01
—
TX
05
—
0827875-01
—
TX
05
—
0937807-01
—
TX
05
—
1218281-01
—
TX
05
—
1218281-02
—
TX
05
—
1218281-04
—
TX
01
—
4539637
PHARMACY NCPDP NUMBER
TX
01
—
HH3010
BCBS DRUG/ALCOHOL
TX
01
—
HH4750
BCBS PSYCHIATRIC
TX
Enumeration date
07/31/2006
Last updated
11/08/2022
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