Healthcare Provider Details

I. General information

NPI: 1134223357
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6515 KEMP BLVD.
WICHITA FALLS TX
76308-5419
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 940-689-5201
  • Fax: 940-689-5784
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