| Organization Name: | DEPARTMENT OF STATE HEALTH SERVICES |
| NPI Number: | 1003982117 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM OLIVER (DEPUTY REGIONAL DIRECTOR) |
| Mailing Address: | 1517 W Front St Attn Billing Office Tyler |
| State: | TX US |
| Postal Code: | 757027822 |
| Phone Number: | 9035953585 |
| Fax Number: | 9035934187 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0005X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Family Planning Facility |
| Taxonomy Definition: | An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |