Organization · NPI-2

Health And Human Services Commission

Intermediate Care Facility, Intellectual Disabilities · Lubbock, TX

NPI number1649363326
StatusActive
Last updated in NPPESFeb 5, 2018

Details

NPI
1649363326
Entity type
Organization (NPI-2)
Legal business name
Health And Human Services Commission
Organization subpart
No
Enumeration date
Oct 2, 2006
Last updated
Feb 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities–TXYes
2084N0400X Psychiatry & Neurology, Neurology–TX
2084P0800X Psychiatry & Neurology, Psychiatry–TX
2085R0202X Radiology, Diagnostic Radiology–TX
213E00000X Podiatrist–TX
207Q00000X Family Medicine–TX
207RC0000X Internal Medicine, Cardiovascular Disease–TX
207V00000X Obstetrics & Gynecology–TX
207W00000X Ophthalmology–TX
208100000X Physical Medicine & Rehabilitation–TX

Other names

  • Lubbock State Supported Living Center (Other Name)

Practice location

3401 N University Ave
Lubbock, TX 79415-1734

Phone 806-763-7041 · Fax 806-741-3604

Mailing address

Po Box 5396
Lubbock, TX 79408-5396

Phone 806-763-7041 · Fax 806-741-3604

Authorized official

Scott Schalchlin
Associate Commissioner
5124383076

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