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Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE J TELFORD (MANAGED CARE CONSULTANT)
(469) 800-8648
Entity
Organization
Contact information
Practice address
3800 GAYLORD PKWY STE 810, FRISCO, TX 75034-9420
(469) 800-7540
(469) 800-8545
Mailing address
8080 N CENTRAL EXPY STE 600, DALLAS, TX 75206-3794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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