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
8080 N CENTRAL EXPY, SUITE 1650, DALLAS, TX 75206-1838
(972) 860-8648
(972) 860-8679
Mailing address
8080 N CENTRAL EXPY, SUITE 1650, DALLAS, TX 75206-1838
(972) 860-8648
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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