Healthtexas Provider Network

LBN: Healthtexas Provider Network
Healthtexas Provider Network is an health care organization with primary practice located at 1110 Parker Sq , Flower Mound TX 75028-7432. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Healthtexas Provider Network can be contacted via phone (972) 724-1707, or through Fourton, Ellen Elizabeth via phone (972) 860-8649.

Contact Information

Primary practice address
1110 Parker Sq Flower Mound TX 75028-7432
Phone: (972) 724-1707
Fax: (972) 724-1407
Website:
Map and Directions
Authorized official contact:
Name: Fourton, Ellen Elizabeth
Phone: (972) 860-8649

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00U07B Texas

Profile Details

NPI number 1427054402
LBN Legal business name Healthtexas Provider Network
DBA Doing business as
Authorized official Fourton, Ellen Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 22nd, 2010 - about 14 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 1427054402 NPPES
Texas MEDICAID 0855389-01

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