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HEALTHTEXAS PROVIDER NETWORK NPI 1760488936


NPI Information

NPI: 1760488936
Provider Name: HEALTHTEXAS PROVIDER NETWORK
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3600 GASTON AVE
STE 656
DALLAS, TX
ZIP 75246
Phone: (214) 820-3466
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HEALTHTEXAS PROVIDER NETWORK is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEALTHTEXAS PROVIDER NETWORK NPI is 1760488936. 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
STE 656
DALLAS, TX
ZIP 75246-906
Phone: (214) 820-3466
Fax: (214) 820-3468

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 6/22/2005 and was last updated on 8/19/2015.


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
1207N00000XDermatology00N85XTEXASNo
2207R00000XInternal Medicine00N85XTEXASNo
3207RC0000XInternal MedicineCardiovascular Disease00N85XTEXASNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism00N85XTEXASNo
5207RG0100XInternal MedicineGastroenterology00N85XTEXASNo
6207RI0008XInternal MedicineHepatology00N85XTEXASNo
7207RR0500XInternal MedicineRheumatology00N85XTEXASNo
8207V00000XObstetrics & Gynecology00N85XTEXASNo
9208000000XPediatrics00N85XTEXASNo
10208100000XPhysical Medicine & Rehabilitation00N85XTEXASNo
112084N0400XPsychiatry & NeurologyNeurology00N85XTEXASNo
12208600000XSurgery00N85XTEXASNo
13208M00000XHospitalist00N85XTEXASNo
14207QH0002XFamily MedicineHospice and Palliative Medicine00N85XTEXASNo
15207Q00000XFamily Medicine00N85XTEXASYes

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
1084328609MEDICAIDTEXAS
20844300001MEDICARE NSCTEXAS
30844300007MEDICARE NSCTEXAS
400N85XMEDICARE PINTEXAS
500N85XOTHERTEXASBCBS
60843286-01MEDICAIDTEXAS
7CD6866MEDICARE PINTEXAS
80844300005MEDICARE NSCTEXAS

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: 11/14/2023

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