Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Texas DSHS- Rio Grande State Center STHCS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization
Contact information
Practice address
1401 S RANGERVILLE ROAD, HARLINGEN, TX 78552-7638
(956) 364-8000
(956) 364-8245
Mailing address
701 W 51ST ST # MC-E619, AUSTIN, TX 78751-2312
(512) 438-5618
(512) 438-4220
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
TX
3336I0012X
Institutional Pharmacy
—
TX
3336L0003X
Long Term Care Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212193-01
—
TX
05
—
0212193-02
—
TX
05
—
021219303
—
TX
05
—
0845315-01
—
TX
01
—
4521642
PHARMACY NCPDP NUMBER
TX
01
—
HH3020
BCBS DRUG ALCOHOL
TX
01
—
HH4992
BCBS PSYCHIATRIC
TX
Enumeration date
11/16/2006
Last updated
01/31/2024
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