Organization
HEALTHTEXAS PROVIDER NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE J TELFORD (MANAGED CARE CONSULTANT)
(469) 800-8648
Entity
Organization
Contact information
Practice address
2001 N MACARTHUR BLVD STE 425, IRVING, TX 75061-2299
(469) 800-1330
Mailing address
8080 N CENTRAL EXPY STE 600, DALLAS, TX 75206-3794
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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