Healthtexas Provider Network

LBN: Healthtexas Provider Network
Healthtexas Provider Network is an health care organization with primary practice located at 3409 Worth St Suite 640, Dallas TX 75246-2029. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Healthtexas Provider Network can be contacted via phone (214) 826-6276, or through Fourton, Ellen Elizabeth via phone (972) 860-8649.

Contact Information

Primary practice address
3409 Worth St Suite 640 Dallas TX 75246-2029
Fax: (214) 826-6223
Website:
Authorized official contact:
Name: Fourton, Ellen Elizabeth

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00837T Texas

Profile Details

NPI number 1942206024
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 Sep 11th, 2013 - about 11 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 1942206024 NPPES
Texas MEDICAID 1550287-01

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