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
5345 N GEORGE BUSH FWY, GARLAND, TX 75040-2767
(972) 495-5888
(972) 495-0588
Mailing address
5345 N GEORGE BUSH FWY, GARLAND, TX 75040-2767
(972) 495-5888
(972) 495-0588
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
05/04/2010
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