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Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER S. REEVES (DIRECTOR)
(214) 865-2753
Entity
Organization
Contact information
Practice address
1820 PRESTON PARK BLVD STE 1450, PLANO, TX 75093-3691
(469) 800-4540
(469) 800-4541
Mailing address
301 N WASHINGTON AVE, DALLAS, TX 75246-1754
(469) 800-8742
(469) 800-8679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00348T
TX
207V00000X
Obstetrics & Gynecology Physician
00348T
TX
208100000X
Physical Medicine & Rehabilitation Physician
00348T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092HQ
BCBSTX
TX
05
—
1516171-02
—
TX
Enumeration date
06/20/2005
Last updated
11/06/2025
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