HEALTHTEXAS PROVIDER NETWORK

FT WORTH, TX
NPI1821241605
Entity TypeOrganization
Authorized ContactELLEN E FOURTON
Director
972-860-8649
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Additional Taxonomies207Q00000X Family Medicine
207R00000X Internal Medicine
207X00000X Orthopaedic Surgery
207Y00000X Otolaryngology
208000000X Pediatrics
208600000X Surgery
Enumeration Date2008-10-24
Last Update Date2010-04-20
Business Address
HEALTHTEXAS PROVIDER NETWORK
900 W MAGNOLIA AVE SUITE 201
FT WORTH, TX 76104-8517
Phone number: 817-921-6166
Mailing Address
HEALTHTEXAS PROVIDER NETWORK
8080 N CENTRAL EXPY SUITE 600, LB82
DALLAS, TX 75206-1838
Phone number: 972-860-8648