Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
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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