Healthcare Provider Details

I. General information

NPI: 1578637732
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2203 W 35TH ST
AUSTIN TX
78703-1203
US

IV. Provider business mailing address

2203 W 35TH ST
AUSTIN TX
78703-1203
US

V. Phone/Fax

Practice location:
  • Phone: 512-454-4731
  • Fax: 512-459-5352
Mailing address:
  • Phone: 512-454-4731
  • Fax: 512-459-5352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number6014
License Number StateTX

VIII. Authorized Official

Name: SCOTT SCHALCHLIN
Title or Position: ASSOCIATE COMMISSIONER
Credential:
Phone: 512-438-3076