Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Other names
Family Medical Center at Terrell
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN ELIZABETH FOURTON (DIRECTOR)
(972) 860-8649
Entity
Organization
Contact information
Practice address
4004 WORTH ST, STE 300, DALLAS, TX 75246-1600
(972) 551-7500
(972) 524-7418
Mailing address
8080 N CENTRAL EXPY, LB 82, STE 1650, DALLAS, TX 75206-3789
(972) 860-8653
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00417X
TX
Other
Enumeration date
06/20/2005
Last updated
02/23/2008
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