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1043314263

NPI Code Detail

MEDICARE: HEALTH AND HUMAN SERVICES COMMISSION

MEDICARE: HEALTH AND HUMAN SERVICES COMMISSION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist		TX
2	103TC0700X	Clinical Psychologist		TX
3	103TF0200X	Forensic Psychologist		TX
4	183500000X	Pharmacist		TX
5	2084F0202X	Forensic Psychiatry Physician		TX
6	2084P0800X	Psychiatry Physician		TX
7	2084P0804X	Child & Adolescent Psychiatry Physician		TX
8	2084P0805X	Geriatric Psychiatry Physician		TX
9	208D00000X	General Practice Physician		TX
10	363A00000X	Physician Assistant		TX
11	363L00000X	Nurse Practitioner		TX
12	364S00000X	Clinical Nurse Specialist		TX
13	103G00000X	Clinical Neuropsychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4539219	OTHER	TX	PHARMACY NCPDP NUMBER
2	HH4008	OTHER	TX	BCBS FORENSIC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	HH3011	OTHER	TX	BCBS ADOLESCENT
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043314263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND HUMAN SERVICES COMMISSION

Provider Business Mailing Address
First Line	:	4110 GUADALUPE ST
Second Line	:	MC-2023
City	:	AUSTIN
State	:	TX
Zip	:	78751-4296
Country	:	US
Telephone Number	:	512-206-5284
Fax Number	:	512-206-5302

Provider Business Practice Location Address
First Line	:	4730 COLLEGE DRIVE
Second Line	:
City	:	VERNON
State	:	TX
Zip	:	76384-4009
Country	:	US
Telephone Number	:	940-552-9901
Fax Number	:	940-553-2523

Authorized Official
Title or Position	:	ASSOCIATE COMMISSIONER
Name	:	KRISTY CARR
Credential	:
Telephone Number	:	512-814-6942

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	02/22/2024

Similar Medicare Providers

1699894840 — DAVID R. BAKER M.D.
Practice Location Address:

4730 COLLEGE DR
VERNON, TX
76384-4009

Practice Phone: 940-552-9901
Practice Fax:

1760493506 — DR. KEVIN THOMAS BROWN MD
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VERNON, TX
76384-4009

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1245344472 — HEALTH AND HUMAN SERVICES COMMISSION
Practice Location Address:

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76384-4009

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1184730988 — HEALTH AND HUMAN SERVICES COMMISSION
Practice Location Address:

4730 COLLEGE DR
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76384-4009

Practice Phone: 940-552-4055
Practice Fax: 940-553-2523

1801915996 — EDWIN S. DRAUGHON M.D.
Practice Location Address:

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Practice Fax:

1821117995 — ALLEN CHILDS M.D.
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Directions to “HEALTH AND HUMAN SERVICES COMMISSION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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