Healthcare Provider Details

I. General information

NPI: 1184730988
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 COLLEGE DR
VERNON TX
76384-4009
US

IV. Provider business mailing address

909 W 45TH ST BLDG 634
AUSTIN TX
78751-2803
US

V. Phone/Fax

Practice location:
  • Phone: 940-552-4055
  • Fax: 940-553-2523
Mailing address:
  • Phone: 512-658-4099
  • 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 VI
Credential:
Phone: 512-658-4099