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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