Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN FOURTON (DIRECTOR)
(972) 860-8679
Entity
Organization
Contact information
Practice address
1305 W JEFFERSON ST, SUITE 120, WAXAHACHIE, TX 75165-2269
(972) 923-1457
(972) 923-1304
Mailing address
8080 N CENTRAL EXPY # LB82, SUITE 600, DALLAS, TX 75206-1838
(972) 860-8648
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077DJ
BCBS
TX
05
—
200107501
—
TX
05
—
200107502
—
TX
Enumeration date
09/17/2008
Last updated
11/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up