Healthtexas Provider Network

NPI #1629074893 in Waxahachie, Texas

Provider Information

NPI Number: 1629074893
Entity Type: Organization
Organization Name: Healthtexas Provider Network
Primary Specialty: Internal Medicine
Enumeration Date: Jun 22, 2005
Last Updated: Feb 18, 2008

Practice Location

Address: 505 N HIGHWAY 77
Address 2: STE 200
City: Waxahachie
State: Texas
ZIP Code: 75165-1129
Phone: (972) 923-1686

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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