Organization
DEPARTMENT OF STATE HEALTH SERVICES
Active
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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