# HEALTHTEXAS PROVIDER NETWORK

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

## Provider details

- **NPI number:** 1265925192
- **Authorized official:** JENNIFER S. REEVES (DIRECTOR)
- **Authorized official phone:** (469) 800-8332

## Contact information

- **Practice address:** 2021 N MACARTHUR BLVD STE 300, IRVING, TX 75061
- **Practice address phone:** (972) 817-1270
- **Practice address fax:** (972) 817-1275
- **Mailing address:** 301 N WASHINGTON AVE FL 5, 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:** 06/14/2018
- **Last updated:** 01/09/2024