DEPARTMENT OF STATE HEALTH SERVICES (NPI# 1003982117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003982117 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF STATE HEALTH SERVICES |
| Other Organization Name | TEXAS DSHS - HSR 4&5 TYLER |
| Practice Address |
1517 W Front St Attn Billing Office Tyler TX 75702-7822 |
| Mailing Address |
1100 W 49th St Hsr 4&5 - Tyler Austin TX 78756-3101 |
| Practice Telephone | 9035953585 |
| Practice Fax Number | 9035934187 |
| Mailing Telephone | 5124587111 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM OLIVER (DEPUTY REGIONAL DIRECTOR) |
| Authorized Official Telephone | 9035953585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
TX | Ambulatory Health Care Facilities | |
| X | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
TX | Ambulatory Health Care Facilities | |
| X | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Texas DSHS - HSR 4&5 Tyler | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316000144 | Department of State Health Services | Clinic/Center | 2303 Se Military Dr, San Antonio, TX 78223-3542 | 2006-12-19 |
| 1841354677 | Department of State Health Services | General Acute Care Hospital | 2303 S.e. Military Dr, San Antonio, TX 78223 | 2006-12-19 |
| 1467529230 | Department of State Health Services | Clinic/Center | 601 W Sesame Dr, Attn Billing Office, Harlingen, TX 78550-7930 | 2006-11-29 |
| 1205903564 | Department of State Health Services | Clinic/Center | 2301 N Big Spring St Ste 300, Hsr 9/10 Attn: Beki Hammontree, Midland, TX 79705-7649 | 2006-11-29 |
| 1578639647 | Department of State Health Services | Clinic/Center | 6302 Lola, Lubbock, TX 79424 | 2006-11-28 |
| 1639245764 | Department of State Health Services | Clinic/Center | 2408 S 37th St, Attn Billing Office, Temple, TX 76504-7168 | 2006-11-28 |
| 1033285168 | Department of State Health Services | Clinic/Center | 7430 Louis Pasteur Dr, Attn Billing Office, San Antonio, TX 78229-4507 | 2006-11-28 |
| 1083904965 | Department of State Health Services | Public Health or Welfare | 1100 W 49th St, Austin, TX 78756-3101 | 2011-04-13 |
| 1679620454 | Department of State Health Services | Psychiatric Hospital | 4615 Alameda Ave, El Paso, TX 79905-2702 | 2007-01-04 |
| 1689740789 | Department of State Health Services | Clinic/Center | 1301 S Bowen Rd, Suite 200, Attn Billing Office, Arlington, TX 76013-2269 | 2006-11-28 |
| Street Address |
1517 W FRONT ST ATTN BILLING OFFICE |
| City | TYLER |
| State | TX |
| Zip Code | 75702-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639271588 | Paul Kent Mcgaha | Preventive Medicine | 1517 W Front St, Tyler, TX 75702-7822 | 2006-09-02 |
| 1255402103 | Maureen Elizabeth Weber | Dentist | 1517 W Front St, Tyler, TX 75702-7822 | 2006-11-13 |
| 1679673545 | Joan Marie Frazier | Preventive Medicine | 1517 W Front St, Tyler, TX 75702-7822 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107324 | Baylor Colleg of Medicine Teen Health Clinic | Clinic/Center | 1700 Dumble St, Houston, TX 77023-3139 | 2017-11-07 |
| 1144747981 | Foundation for Life | Clinic/Center | 10900 Northwest Fwy Ste 112, Houston, TX 77092-7309 | 2017-08-23 |
| 1851838239 | Clinica Familiar Bellaire | Clinic/Center | 5727 Bellaire Blvd Ste A, Houston, TX 77081-5505 | 2017-01-24 |
| 1912441304 | Involved for Life, Inc. | Clinic/Center | 525 N Ervay St, Dallas, TX 75201-3149 | 2016-12-05 |
| 1265804561 | Linda Fay Nebben | Clinic/Center | 503 Sunset Acres Ct, Granbury, TX 76048-5487 | 2015-10-26 |
| 1881071769 | Darrell Smith Jr. | Clinic/Center | 6532 Burling St, Waco, TX 76712-7577 | 2015-04-30 |
| 1053718296 | Isreal Cornelius Holmes | Clinic/Center | 3122 Springdale Dr, Pearland, TX 77584-5101 | 2014-12-03 |
| 1336551761 | Baylor College of Medicine Ten Health Clinic | Clinic/Center | 11625 Martindale Rd, Houston, TX 77048-2005 | 2014-05-20 |
| 1669711404 | Baylor College of Medicine Teen Health Clinic | Clinic/Center | 9215 Scott St, Houston, TX 77051-3302 | 2013-02-13 |
| 1760743819 | Pazmino's Home Care | Clinic/Center | 12610 La Plata St, 12610 La Plata St., San Antonio, TX 78233-6334 | 2012-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.