Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
San Antonio State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization
Contact information
Practice address
6711 S NEW BRAUNFELS AVE #100, SAN ANTONIO, TX 78223-3002
(210) 531-7805
(210) 531-7796
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0638264-01
—
TX
05
—
0827974-01
—
TX
05
—
1387060-04
—
TX
05
—
1387060-05
—
TX
05
—
1387060-06
—
TX
05
—
1387060-07
—
TX
01
—
4589012
PHARMACY NCPDP NUMBER
TX
01
—
HH3015
BCBS DRUG/ALCOHOL
TX
01
—
HH4763
BCBS PSYCHIATRIC
TX
Enumeration date
08/04/2006
Last updated
11/17/2023
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