Provider Demographics
NPI:1447464441
Name:HARDIN COUNTY WIC
Entity type:Organization
Organization Name:HARDIN COUNTY WIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-246-8383
Mailing Address - Street 1:440 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:KOUNTZE
Mailing Address - State:TX
Mailing Address - Zip Code:77625-5414
Mailing Address - Country:US
Mailing Address - Phone:409-246-8383
Mailing Address - Fax:409-246-5266
Practice Address - Street 1:440 W. MONROE HWY 326
Practice Address - Street 2:
Practice Address - City:KOUNTZE
Practice Address - State:TX
Practice Address - Zip Code:77625-5414
Practice Address - Country:US
Practice Address - Phone:409-246-8383
Practice Address - Fax:409-246-5266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare