Healthtexas Provider Network

NPI #1821241605 in Ft Worth, Texas

Provider Information

NPI Number
1821241605
Entity Type
Organization
Organization Name
Healthtexas Provider Network
Primary Specialty
Neurological Surgery
Enumeration Date
Oct 24, 2008
Last Updated
Apr 20, 2010

Practice Location

Address
900 W MAGNOLIA AVE
Address 2
SUITE 201
State
Texas
ZIP Code
76104-8517
Phone
(817) 921-6166

Authorized Official

Name
ELLEN E FOURTON
Title
DIRECTOR
Phone
(972) 860-8649

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine
Orthopaedic Surgery
Otolaryngology
Pediatrics
Surgery
Neurological Surgery

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