Healthtexas Provider Network--Dallas Diagnostic Association
LBN: Healthtexas Provider Network--Dallas Diagnostic Association
Healthtexas Provider Network--Dallas Diagnostic Association is an health care organization with primary practice located at 601 Clara Barton Blvd Ste 300, Garland TX 75042-5755. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Healthtexas Provider Network--Dallas Diagnostic Association can be contacted via phone (972) 494-6235, or through Fourton, Ellen Elizabeth via phone (972) 860-8649.
Contact Information
Primary practice address
601 Clara Barton Blvd Ste 300
Garland TX 75042-5755
Phone: (972) 494-6235
Fax: (972) 272-2073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 00R87R | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00R87R | Texas |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 00R87R | Texas |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 00R87R | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 00R87R | Texas |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 00R87R | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 00R87R | Texas |
Profile Details
| NPI number | 1255337275 |
|---|---|
| LBN Legal business name | Healthtexas Provider Network--Dallas Diagnostic Association |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255337275 | NPPES |
| Texas | Other | 00R87R | BCBS |
| Texas | MEDICAID | 0849374-01 | BCBS |
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