Healthtexas Provider Network
LBN: Healthtexas Provider Network
Healthtexas Provider Network is an health care organization with primary practice located at 2740 N Hwy 360 Suite 100, Grand Prairie TX 75050-6401. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Healthtexas Provider Network can be contacted via phone (972) 606-8300, or through Fourton, Ellen Elizabeth via phone (972) 860-8649.
Contact Information
Primary practice address
2740 N Hwy 360 Suite 100
Grand Prairie TX 75050-6401
Phone: (972) 606-8300
Fax: (972) 606-4940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0079BV | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0079BV | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0079BV | Texas |
Profile Details
| NPI number | 1528063146 |
|---|---|
| LBN Legal business name | Healthtexas Provider Network |
| DBA Doing business as | |
| Authorized official | Fourton, Ellen Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 20th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528063146 | NPPES |
| Texas | MEDICAID | 0811697-02 | |
| Texas | Other | 0079BV |
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