HEALTHTEXAS PROVIDER NETWORK

GRAND PRAIRIE, TX
NPI1528063146
Entity TypeOrganization
Authorized ContactELLEN ELIZABETH FOURTON
Director
972-860-8649
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  0079BV)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: TX  0079BV)
207R00000X Internal Medicine
(Licence: TX  0079BV)
Enumeration Date2005-06-20
Last Update Date2010-01-20
Business Address
HEALTHTEXAS PROVIDER NETWORK
2740 N HWY 360 SUITE 100
GRAND PRAIRIE, TX 75050-6401
Phone number: 972-606-8300
Mailing Address
HEALTHTEXAS PROVIDER NETWORK
8080 N CENTRAL EXPY, LB 82 STE 1650
DALLAS, TX 75206
Phone number: 972-860-8648