Healthcare Provider Details

I. General information

NPI: 1740299775
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E BRIN ST
TERRELL TX
75160-2938
US

IV. Provider business mailing address

PO BOX 70
TERRELL TX
75160-9000
US

V. Phone/Fax

Practice location:
  • Phone: 972-551-8238
  • Fax: 972-551-8805
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number6034
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State

VIII. Authorized Official

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