1366442550 NPI number — TEXAS OAKS PSYCHIATRIC HOSPITAL LP

Table of content: (NPI 1366442550)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366442550 NPI number — TEXAS OAKS PSYCHIATRIC HOSPITAL LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS OAKS PSYCHIATRIC HOSPITAL LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AUSTIN OAKS HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366442550
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1407 W STASSNEY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78745-2947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-464-0200
Provider Business Mailing Address Fax Number:
512-464-0484

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1407 W STASSNEY LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78745-2947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-464-0200
Provider Business Practice Location Address Fax Number:
512-464-0484
Provider Enumeration Date:
07/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
FILTON
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
610-768-3482

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 283Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 323P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 45002102 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4101709 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: HS866PI , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149376125 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 796055 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH6643 . This is a "BLUE CROSS PROVIDER NUMBE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0012237 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00194338902001-01 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 006388570 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00220573 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 34484027 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: NM600550 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 20026450A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




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