Texas Department of State Health Services

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

TEXAS DEPARTMENT OF STATE HEALTH SERVICES

Practice address

1100 West 49TH Street
Austin, TX 78714-9347

Phone

(512) 458-7111

Fax

(512) 458-7588

NPI assigned

Jun 16, 2009

Last updated

Sep 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Barbara Suzanne Kelly-King

Title

Revenue Management Unit Manager

Phone

(512) 458-7111

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1649407834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WEST 49TH STREET",
            "address_2": "P.O. BOX 149347",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787149347",
            "telephone_number": "512-458-7111",
            "fax_number": "512-458-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WEST 49TH STREET",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787149347",
            "telephone_number": "512-458-7111",
            "fax_number": "512-458-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "KELLY-KING",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "REVENUE MANAGEMENT UNIT MANAGER",
        "authorized_official_telephone_number": "512-458-7111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Austin, TX by specialty
• Non-Pharmacy Dispensing Site in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.