Healthtexas Provider Network
NPI #1528063146 in Grand Prairie, Texas
Provider Information
- NPI Number
- 1528063146
- Entity Type
- Organization
- Organization Name
- Healthtexas Provider Network
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 20, 2005
- Last Updated
- Jan 20, 2010
Practice Location
- Address
- 2740 N HWY 360
- Address 2
- SUITE 100
- City
- Grand Prairie
- State
- Texas
- ZIP Code
- 75050-6401
- Phone
- (972) 606-8300
Authorized Official
- Name
- MRS. ELLEN ELIZABETH FOURTON
- Title
- DIRECTOR
- Phone
- (972) 860-8649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
| Internal Medicine |
| Family Medicine |
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