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Organization

DEPARTMENT OF STATE HEALTH SERVICES

Active
Other names
Texas DSHS - HSR 7 Temple
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS BETZ (DEPUTY REGIONAL DIRECTOR)
(254) 778-6744
Entity
Organization

Contact information

Practice address
2408 S 37TH ST, ATTN BILLING OFFICE, TEMPLE, TX 76504-7168
(254) 778-6744
(254) 778-6819
Mailing address
1100 W 49TH ST, HSR 7 - TEMPLE, AUSTIN, TX 78756-3101
(512) 458-7111

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133560605
TX
05
134758503
TX
05
135248605
TX
05
136129704
TX
05
136130503
TX
05
136368105
TX
05
136480406
TX
05
138359802
TX
05
138359803
TX
Enumeration date
11/28/2006
Last updated
03/19/2009
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