OrganizationActive
Texas Department of State Health Services
NPI 1649407834 · Non-Pharmacy Dispensing Site · Austin, TX
Provider details
- NPI number
- 1649407834
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Barbara Kelly-King, Revenue Management Unit Manager(512) 458-7111
Specialties & taxonomies
Suppliers
Practice location
1100 West 49th Street
Austin, TX 78714-9347
Phone: (512) 458-7111
Fax: (512) 458-7588
Approximate (ZIP-level) locationGet directions
Mailing address
1100 West 49th Street
Austin, TX 78714-9347
Registry dates
- Enumerated
- 2009-06-16
- Last updated
- 2009-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.