Healthtexas-Med Provider

LBN: Healthtexas-Med Provider
Healthtexas-Med Provider is an health care organization with primary practice located at 3417 Gaston Ave Suite 1000, Dallas TX 75246-2016. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Healthtexas-Med Provider can be contacted via phone (469) 800-9000, or through Fourton, Ellen Elizabeth via phone (469) 800-8649.

Contact Information

Primary practice address
3417 Gaston Ave Suite 1000 Dallas TX 75246-2016
Phone: (469) 800-9000
Fax: (469) 800-9010
Website:
Map and Directions
Authorized official contact:
Name: Fourton, Ellen Elizabeth
Phone: (469) 800-8649

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00T27E Texas

Profile Details

NPI number 1992700512
LBN Legal business name Healthtexas-Med Provider
DBA Doing business as
Authorized official Fourton, Ellen Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Apr 20th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992700512 NPPES
Texas MEDICAID 0851826-02

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