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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
5232 COLLEYVILLE BLVD, SUITE 100, COLLEYVILLE, TX 76034-7826
(817) 498-9920
(817) 498-0635
Mailing address
301 N WASHINGTON AVE, DALLAS, TX 75246-1754
(469) 800-8742
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00T04Z
TX
207R00000X
Internal Medicine Physician
00T04Z
TX
207RG0100X
Gastroenterology Physician
00T04Z
TX
207RI0008X
Hepatology Physician
00T04Z
TX
207RR0500X
Rheumatology Physician
00T04Z
TX
2084N0400X
Neurology Physician
00T04Z
TX
208600000X
Surgery Physician
00T04Z
TX
208800000X
Urology Physician
00T04Z
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T04Z
BCBS
TX
05
—
0851099-02
—
TX
Enumeration date
06/27/2005
Last updated
01/06/2025
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