# HEALTHTEXAS PROVIDER NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912220955
- **Authorized official:** ELLEN E. FOURTON (DIRECTOR)
- **Authorized official phone:** (972) 860-8649

## Contact information

- **Practice address:** 5345 N GEORGE BUSH FWY, GARLAND, TX 75040-2767
- **Practice address phone:** (972) 495-5888
- **Practice address fax:** (972) 495-0588
- **Mailing address:** 5345 N GEORGE BUSH FWY, GARLAND, TX 75040-2767
- **Mailing address phone:** (972) 495-5888
- **Mailing address fax:** (972) 495-0588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 05/04/2010