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  • Excellent Provider Service Form - Texas Department Of State Health ...

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We want to know the components of what made their visit with you so memorable. Please print this document and mail it to the ImmTrac office at P.O. Box 149347, Mail Code 1946, Austin, TX 78714- 9347 or save the document and e-mail it to ImmTrac.edu dshs.state.tx.us.. This form along with other documentation will go toward the Award of Excellence certificate. Your Information Last Name: First Name: Title: Provider/Facility/Site Name: Individual or Team of Immunizations Program Outreach Speci.

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The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty.

The DSHS mission is to improve the health, safety, and well-being of Texans through good stewardship of public resources, and a focus on core public health functions.

NPI (National Provider Identifier) numbers are 10-digit numerical identifiers that uniquely identify individual providers or healthcare entities.

The TPI is your enrollment into Texas Medicaid and provided by TMHP.

A Texas Identification Number (TIN) is an 11-digit number that identifies a state payee in TINS.

Becoming Licensed in Texas Complete the pre-survey, computer-based training. Properly complete the license application. Upload all required documents. Pay the required license fee(s). Be registered with and be in good standing from the State Comptroller of Public Accounts.

Depending on your selection you may receive a new Texas Provider Identifier (TPI)A unique 9-digit number used to identify state health-care program providers..

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232