Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN FOURTON (VICE PRESIDENT)
(469) 800-8649
Entity
Organization
Contact information
Practice address
2460 N I 35, SUITE 100, WAXAHACHIE, TX 75165-5266
(469) 800-9740
(469) 800-9741
Mailing address
2460 N I 35, SUITE 100, WAXAHACHIE, TX 75165-5266
(469) 800-9740
(469) 800-9741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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