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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
3600 GASTON AVE, STE 656, DALLAS, TX 75246-1906
(214) 820-3466
(214) 820-3468
Mailing address
301 N WASHINGTON AVE, DALLAS, TX 75246-1754
(469) 800-8742
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
00N85X
TX
207Q00000X
Family Medicine Physician
Primary
00N85X
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
00N85X
TX
207R00000X
Internal Medicine Physician
00N85X
TX
207RC0000X
Cardiovascular Disease Physician
00N85X
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
00N85X
TX
207RG0100X
Gastroenterology Physician
00N85X
TX
207RI0008X
Hepatology Physician
00N85X
TX
207RR0500X
Rheumatology Physician
00N85X
TX
207V00000X
Obstetrics & Gynecology Physician
00N85X
TX
208000000X
Pediatrics Physician
00N85X
TX
208100000X
Physical Medicine & Rehabilitation Physician
00N85X
TX
2084N0400X
Neurology Physician
00N85X
TX
208600000X
Surgery Physician
00N85X
TX
208M00000X
Hospitalist Physician
00N85X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N85X
BCBS
TX
05
—
0843286-01
—
TX
05
—
084328609
—
TX
Enumeration date
06/22/2005
Last updated
01/06/2025
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