Organization
HEALTHYTEX MEDICAL AND WELLNESS, PLLC
Active
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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