NPI: 1942376066
Provider Name: TEXAS DEPARTMENT OF STATE HEALTH SERVICES
Doing Business As: TEXAS DSHS - HSR 6&5 HOUSTON
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization
Specialization: Public Health, State or Local
CLIA Number: 45D0674093
Address:
5425 POLK ST
SUITE J, ATTN BILLING OFFICE
HOUSTON, TX
ZIP 77023
Phone: (713) 767-3000
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TEXAS DEPARTMENT OF STATE HEALTH SERVICES is a public health and state or local clinic center in Houston, TX. TEXAS DEPARTMENT OF STATE HEALTH SERVICES NPI is 1942376066. The provider is registered as an organization entity type.
The provider Is Doing Business As Texas Dshs - Hsr 6&5 Houston.
The provider's business location address is:
5425 POLK ST
SUITE J, ATTN BILLING OFFICE
HOUSTON, TX
ZIP 77023-444
Phone: (713) 767-3000
Fax: (713) 767-3049
The provider's authorized official is Aashish Kiran Shah .
The authorized official title is Regional Director and has the following contact phone number (713) 767-3000.
The CLIA number assigned to this NPI record is 45D0674093 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/28/2006 and was last updated on 2/21/2008.