Healthtexas Provider Network

NPI #1063417699 in Terrell, Texas

Provider Information

NPI Number: 1063417699
Entity Type: Organization
Organization Name: Healthtexas Provider Network
Primary Specialty: Family Medicine
Enumeration Date: Jun 20, 2005
Last Updated: Apr 20, 2010

Practice Location

Address: 200 N VIRGINIA ST
City: Terrell
State: Texas
ZIP Code: 75160-2732
Phone: (972) 551-7500

Authorized Official

Name: MRS. ELLEN ELIZABETH FOURTON
Title: DIRECTOR
Phone: (972) 860-8649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Family Medicine	207Q00000X	Primary

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