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Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Other names
Baylor Family Medical Center at Rockwall
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER S. REEVES (DIRECTOR)
(214) 865-2753
Entity
Organization
Contact information
Practice address
6435 S FM 549, STE 201, HEATH, TX 75032-6221
(972) 771-9155
(972) 771-2390
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
00T77E
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T77E
BCBS
TX
05
—
0853814-03
—
TX
Enumeration date
06/20/2005
Last updated
01/06/2025
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