Healthtexas Provider Network

NPI #1942206024 in Dallas, Texas

Provider Information

NPI Number: 1942206024
Entity Type: Organization
Organization Name: Healthtexas Provider Network
Primary Specialty: Surgery
Enumeration Date: Jun 23, 2005
Last Updated: Sep 11, 2013

Practice Location

Address: 3409 WORTH ST
Address 2: SUITE 640
City: Dallas
State: Texas
ZIP Code: 75246-2029
Phone: (214) 826-6276

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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