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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
1110 PARKER SQ, FLOWER MOUND, TX 75028-7432
(972) 724-1707
(972) 724-1407
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
00U07B
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0855389-01
—
TX
Enumeration date
06/23/2005
Last updated
01/06/2025
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