Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Richmond 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
2100 PRESTON ST, RICHMOND, TX 77469-1419
(281) 232-2075
(281) 344-4587
Mailing address
2100 PRESTON ST, RICHMOND, TX 77469-1419
(281) 232-2075
(281) 344-4587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207R00000X
Internal Medicine Physician
—
TX
207W00000X
Ophthalmology Physician
—
TX
208000000X
Pediatrics Physician
—
TX
208100000X
Physical Medicine & Rehabilitation Physician
—
TX
2084N0400X
Neurology 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
—
000710601
—
TX
Enumeration date
11/27/2006
Last updated
02/05/2018
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