| Pathways Community Support Of Texas, Inc. | |
|
1524 S Ih-35 Suite 210 Austin TX 78704 | |
| (512) 343-8606 | |
| (512) 343-8620 |
| Full Name | Pathways Community Support Of Texas, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1524 S Ih-35, Austin, Texas |
| Authorized Official Name and Position | Richard Wallace (STATE DIRECTOR) |
| Authorized Official Contact | 5123438606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Community Support Of Texas, Inc. 1524 Ih-35 South Suite 210 Austin TX 78704 Ph: (512) 343-8606 | Pathways Community Support Of Texas, Inc. 1524 S Ih-35 Suite 210 Austin TX 78704 Ph: (512) 343-8606 |
| NPI Number | 1982773396 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982773396 | NPI | - | NPPES |
| 152232801 | Medicaid | TX | |
| 153227701 | Medicaid | TX | |
| 155583101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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