Healthcare Provider Details

I. General information

NPI: 1083621973
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 11/22/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4615 ALAMEDA AVE
EL PASO TX
79905-2702
US

IV. Provider business mailing address

701 WEST 51ST STREET WINTERS BUILDING, EAST TOWER
AUSTIN TX
78751-4223
US

V. Phone/Fax

Practice location:
  • Phone: 915-534-5316
  • Fax: 915-534-5587
Mailing address:
  • Phone: 512-913-1580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateTX

VIII. Authorized Official

Name: LINDA GARNETT
Title or Position: PROGRAM SUPERVISOR
Credential:
Phone: 512-913-1580