| Terrell State Hospital | |
|
1200 E Brin Street Terrell TX 75160-2938 | |
| (972) 551-8826 | |
| (972) 551-8513 |
| Full Name | Terrell State Hospital |
|---|---|
| Speciality | Psychologist |
| Location | 1200 E Brin Street, Terrell, Texas |
| Authorized Official Name and Position | Kristy Carr (ASSOCIATE COMMISSIONER) |
| Authorized Official Contact | 5128149642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrell State Hospital 4110 Guadalupe St Hospital Revenue Mgmt-mc2028 Austin TX 78751-4223 Ph: (512) 206-5011 | Terrell State Hospital 1200 E Brin Street Terrell TX 75160-2938 Ph: (972) 551-8826 |
| NPI Number | 1043220718 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043220718 | NPI | - | NPPES |
| 0638256-01 | Medicaid | TX | |
| 1379190-04 | Medicaid | TX | |
| HH4670 | Other | TX | BCBS PSYCHIATRIC |
| 0827966-03 | Medicaid | TX | |
| 4537431 | Other | TX | PHARMACY NCPDP NUMBER |
| 0827966-01 | Medicaid | TX | |
| 1379190-03 | Medicaid | TX | |
| 1379190-05 | Medicaid | TX | |
| 1379190-06 | Medicaid | TX |
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