Healthtexas Provider Network

LBN: Healthtexas Provider Network
Healthtexas Provider Network is an health care organization with primary practice located at 505 N Highway 77 Ste 200, Waxahachie TX 75165-1129. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Healthtexas Provider Network can be contacted via phone (972) 923-1686, or through Fourton, Ellen Elizabeth via phone (972) 860-8649.

Contact Information

Primary practice address
505 N Highway 77 Ste 200 Waxahachie TX 75165-1129
Fax: (972) 923-9268
Website:
Authorized official contact:
Name: Fourton, Ellen Elizabeth

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00T26W Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00T26W Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00T26W Texas

Profile Details

NPI number 1629074893
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 22nd, 2005
Last updated Feb 18th, 2008 - about 17 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 1629074893 NPPES
Texas Other 00T26W BCBS

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