| -hhsd Immunization Program | |
|
7500 Blessing Ave Austin TX 78752-1716 | |
| (512) 972-5554 | |
| (512) 978-7556 |
| Full Name | -hhsd Immunization Program |
|---|---|
| Speciality | Family Medicine |
| Location | 7500 Blessing Ave, Austin, Texas |
| Authorized Official Name and Position | Jesse Hernandez (CUSTOMER SERVICE REPRESENTATIVE SR) |
| Authorized Official Contact | 5129724421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| -hhsd Immunization Program 15 Waller St Fl 3 Austin TX 78702-5240 Ph: (512) 972-4421 | -hhsd Immunization Program 7500 Blessing Ave Austin TX 78752-1716 Ph: (512) 972-5554 |
| NPI Number | 1568635803 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/27/2026 |
| Certification Date | 04/27/2026 |
| Medicare PECOS PAC ID | 7618969353 |
|---|---|
| Medicare Enrollment ID | O20050201000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568635803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (NU) | Secondary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Primary |
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