Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN FOURTON (VICE PRESIDENT)
(469) 800-8649
Entity
Organization
Contact information
Practice address
9101 N CENTRAL EXPY, SUITE 300A, DALLAS, TX 75231-5927
(469) 800-2200
(469) 800-2210
Mailing address
9101 N CENTRAL EXPY, SUITE 300A, DALLAS, TX 75231-5927
(469) 800-2200
(469) 800-2210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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