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 State
1	207R00000X	Internal Medicine Physician	TX
2	207V00000X	Obstetrics & Gynecology Physician	TX
3	207X00000X	Orthopaedic Surgery Physician	TX
4	2084N0400X	Neurology Physician	TX
5	2084P0800X	Psychiatry Physician	TX
6	208D00000X	General Practice Physician	TX
7	363L00000X	Nurse Practitioner	TX
8	315P00000X	Intellectual Disabilities Intermediate Care Facility	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134208952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND HUMAN SERVICES COMMISSION

Provider Business Mailing Address
First Line	:	PO BOX 9297
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78469-9297
Country	:	US
Telephone Number	:	361-888-5301
Fax Number	:	361-844-7910

Provider Business Practice Location Address
First Line	:	902 AIRPORT RD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78405-3513
Country	:	US
Telephone Number	:	361-888-5301
Fax Number	:	361-844-7910

Authorized Official
Title or Position	:	ASSOCIATE COMMISSIONER
Name	:	SCOTT SCHALCHLIN
Credential	:
Telephone Number	:	512-438-3076

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	02/05/2018

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Directions to “HEALTH AND HUMAN SERVICES COMMISSION ” Practice Location

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