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Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER S. REEVES (DIRECTOR)
(469) 800-8332
Entity
Organization
Contact information
Practice address
3900 JUNIUS ST STE 230, DALLAS, TX 75246-1615
(469) 800-7700
Mailing address
8080 N CENTRAL EXPY STE 900, DALLAS, TX 75206-1800
(469) 800-8648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077DJ
BCBS
TX
Enumeration date
02/07/2018
Last updated
02/07/2018
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