Organization
HEALTHYTEX MEDICAL AND WELLNESS, PLLC
Active
Other names
HealthyTex Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET SOUPHANKHAYSY (EXECUTIVE ASSISTANT)
(469) 804-7410
Entity
Organization
Contact information
Practice address
3142 S HIGHWAY 161, GRAND PRAIRIE, TX 75052-7781
(469) 804-7410
(469) 808-0954
Mailing address
PO BOX 210004, DALLAS, TX 75211-0004
(469) 804-7410
(469) 333-2129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
11/10/2023
Last updated
05/04/2026
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