Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Abilene 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
2501 MAPLE ST, ABILENE, TX 79602-5058
(325) 692-4053
(325) 795-3037
Mailing address
PO BOX 451, ABILENE, TX 79604-0451
(325) 692-4053
(325) 795-3854
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
TX
207Q00000X
Family Medicine Physician
—
TX
207W00000X
Ophthalmology Physician
—
TX
207Y00000X
Otolaryngology Physician
—
TX
2084N0400X
Neurology Physician
—
TX
2084P0800X
Psychiatry Physician
—
TX
2085R0001X
Radiation Oncology Physician
—
TX
2085R0202X
Diagnostic Radiology Physician
—
TX
208600000X
Surgery Physician
—
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
—
TX
208800000X
Urology Physician
—
TX
208D00000X
General Practice Physician
—
TX
213E00000X
Podiatrist
—
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710001
—
TX
Enumeration date
10/04/2006
Last updated
02/05/2018
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