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1548273873

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	103TC0700X	Clinical Psychologist		TX
2	183500000X	Pharmacist		TX
3	207QA0000X	Adolescent Medicine (Family Medicine) Physician		TX
4	208000000X	Pediatrics Physician		TX
5	2084F0202X	Forensic Psychiatry Physician		TX
6	2084N0400X	Neurology Physician		TX
7	2084P0800X	Psychiatry Physician		TX
8	2084P0804X	Child & Adolescent 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		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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548273873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND HUMAN SERVICES COMMISSION

Provider Business Mailing Address
First Line	:	PO BOX 149347
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78714-9347
Country	:	US
Telephone Number	:	512-458-7111
Fax Number	:	512-458-7588

Provider Business Practice Location Address
First Line	:	3501 NORTH 19TH STREET
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-2007
Country	:	US
Telephone Number	:	245-756-2171
Fax Number	:	254-745-5367

Authorized Official
Title or Position	:	ACCOUNTANT III
Name	:	MRS. JANA JOHNSON
Credential	:
Telephone Number	:	512-206-5284

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	08/25/2017

Similar Medicare Providers

1366450538 — HEALTH AND HUMAN SERVICES COMMISSION
Practice Location Address:

3501 N 19TH ST
WACO, TX
76708-2007

Practice Phone: 254-745-5167
Practice Fax: 254-745-5367

1649361965 — DR. THOMAS WESLEY STIDVENT M.D.
Practice Location Address:

3501 N 19TH ST
WACO, TX
76708-2007

Practice Phone: 254-756-2171
Practice Fax: 254-745-5119

1821182007 — DR. SUSAN LEE SCHMID PSY.D.
Practice Location Address:

3501 N 19TH ST
WACO, TX
76708-2007

Practice Phone: 254-745-5321
Practice Fax:

1831270578 — LAKSHMI VIJAYA KAZA M.D.
Practice Location Address:

3501 N 19TH ST
WACO, TX
76708-2007

Practice Phone: 254-745-5103
Practice Fax:

1164581963 — DR. HELEN ANN SHORT M.D.
Practice Location Address:

3501 N 19TH ST
WACO, TX
76708-2007

Practice Phone: 254-745-5105
Practice Fax:

1982835310 — MRS. KIRA ANN BAILEY L.C.S.W.
Practice Location Address:

3501 N 19TH ST
WACO, TX
76708-2007

Practice Phone: 254-745-5378
Practice Fax:

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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