<Unavail>
LBN: Jack R. Tomlinson
<Unavail> is an health care organization with primary practice located at 2410 9Th St , Wichita Falls TX 76301-4033. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Jack R. Tomlinson can be contacted via phone (940) 723-0012, or through Young, Judy L via phone (940) 723-0012.
Contact Information
Primary practice address
2410 9Th St
Wichita Falls TX 76301-4033
Phone: (940) 723-0012
Fax: (940) 723-2058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 898 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 740 | Oklahoma |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C6537 | Texas |
Profile Details
| NPI number | 1407973449 |
|---|---|
| LBN Legal business name | Jack R. Tomlinson |
| DBA Doing business as | <Unavail> |
| Authorized official | Young, Judy L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jan 15th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407973449 | NPPES |
| Texas | MEDICAID | 097024601 | |
| Texas | Other | OA0231 | |
| Texas | MEDICAID | 100151170A | |
| Texas | MEDICAID | 033342901 | |
| Texas | Other | 8F9754 | |
| Texas | Other | 8F9755 | |
| Texas | MEDICAID | 100841430A |
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