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HEALTHTEXAS PROVIDER NETWORK NPI 1376541193


NPI Information

NPI: 1376541193
Provider Name: HEALTHTEXAS PROVIDER NETWORK
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3600 GASTON AVE
SUITE 1101
DALLAS, TX
ZIP 75246
Phone: (214) 820-7010
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HEALTHTEXAS PROVIDER NETWORK is an orthopaedic surgery in Dallas, TX. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. HEALTHTEXAS PROVIDER NETWORK NPI is 1376541193. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3600 GASTON AVE
SUITE 1101
DALLAS, TX
ZIP 75246-800
Phone: (214) 820-7010
Fax: (214) 820-7015

The provider's authorized official is Ellen Elizabeth Fourton .
The authorized official title is Director and has the following contact phone number (972) 860-8649.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 8/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology00955KTEXASNo
2207T00000XNeurological Surgery00955KTEXASNo
3207XX0801XOrthopaedic SurgeryOrthopaedic Trauma00955KTEXASNo
42085R0001XRadiologyRadiation Oncology00955KTEXASNo
52084N0400XPsychiatry & NeurologyNeurology00955KTEXASNo
6207Y00000XOtolaryngology00955KTEXASNo
7207X00000XOrthopaedic Surgery00955KTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15850010003MEDICARE NSCTEXAS
200955KMEDICARE PINTEXAS
30077DJOTHERTEXASBCBS
40814253-02MEDICAIDTEXAS
5CI9002MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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