Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN E FOURTON (DIRECTOR)
(972) 860-8649
Entity
Organization
Contact information
Practice address
7777 FOREST LN, SUITE C106, DALLAS, TX 75230-2571
(214) 823-7090
(214) 823-1644
Mailing address
7777 FOREST LN, SUITE C106, DALLAS, TX 75230-2571
(214) 823-7090
(214) 823-1644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
06/14/2012
About Stedi
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