# HEALTHTEXAS PROVIDER NETWORK - IMAGING, LLP

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

## Provider details

- **NPI number:** 1306876289
- **Authorized official:** MRS. ELLEN FOURTON (DIRECTOR)
- **Authorized official phone:** (972) 860-8649

## Contact information

- **Practice address:** 9101 N CENTRAL EXPY, SUITE 100, DALLAS, TX 75231-5927
- **Practice address phone:** (214) 820-1606
- **Practice address fax:** (214) 820-1610
- **Mailing address:** 8080 N CENTRAL EXPY, SUITE 1650, DALLAS, TX 75206-1838
- **Mailing address phone:** (972) 860-8648
- **Mailing address fax:** (972) 860-8679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/17/2009
