Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Denton State Supported LIving Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SCHALCHLIN (ASSOCIATE COMMISSIONER)
(512) 438-3076
Entity
Organization
Contact information
Practice address
3980 STATE SCHOOL RD, DENTON, TX 76210-8823
(940) 591-0342
(940) 591-3300
Mailing address
PO BOX 368, DENTON, TX 76202-0368
(940) 591-3042
(940) 591-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207R00000X
Internal Medicine Physician
—
TX
2084P0800X
Psychiatry Physician
—
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
363L00000X
Nurse Practitioner
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710201
—
TX
Enumeration date
10/02/2006
Last updated
02/05/2018
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