Organization
HEALTHTEXAS-MED PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN ELIZABETH FOURTON (DIRECTOR)
(469) 800-8649
Entity
Organization
Contact information
Practice address
3417 GASTON AVE, SUITE 1000, DALLAS, TX 75246-2016
(469) 800-9000
(469) 800-9010
Mailing address
8080 N CENTRAL EXPY # LB82, STE 600, DALLAS, TX 75206-3794
(469) 800-8648
(469) 800-8679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00T27E
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0851826-02
—
TX
Enumeration date
06/20/2005
Last updated
04/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us