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Organization

HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELLEN ELIZABETH FOURTON (DIRECTOR)
(972) 860-8649
Entity
Organization

Contact information

Practice address
3600 GASTON AVE, STE 404, DALLAS, TX 75246-1804
(214) 827-3890
(214) 823-9310
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
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
00872U
TX

Other

Enumeration date
06/20/2005
Last updated
02/23/2008
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