# HEALTHTEXAS PROVIDER NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215779889
- **Authorized official:** JENNIFER S. REEVES (DIRECTOR)
- **Authorized official phone:** (214) 865-2753

## Contact information

- **Practice address:** 4431 E HIGHWAY 287, MIDLOTHIAN, TX 76065-4109
- **Practice address phone:** (469) 800-9790
- **Practice address fax:** (469) 800-9799
- **Mailing address:** 301 N WASHINGTON AVE STE 500, DALLAS, TX 75246-1754
- **Mailing address phone:** (469) 800-8742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/12/2024