Organization
HEALTHTEXAS PROVIDER NETWORK-TRANSPLANT SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN E FOURTON (VICE PRESIDENT)
(972) 860-8649
Entity
Organization
Contact information
Practice address
3611 22ND PL, LUBBOCK, TX 79410-1317
(214) 820-2050
(214) 820-4527
Mailing address
8080 N CENTRAL EXPY, SUITE 600, LB 82, DALLAS, TX 75206-1838
(972) 860-8648
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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