HEALTHTEXAS PROVIDER NETWORK--DALLAS DIAGNOSTIC ASSOCIATION NPI 1255337275

NPI Information

  • NPI: 1255337275
  • Provider Name: HEALTHTEXAS PROVIDER NETWORK--DALLAS DIAGNOSTIC ASSOCIATION
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Address: 601 CLARA BARTON BLVD
    STE 300
    GARLAND, TX
    ZIP 75042
  • Phone: (972) 494-6235

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NPI Details

HEALTHTEXAS PROVIDER NETWORK--DALLAS DIAGNOSTIC ASSOCIATION is a dermatology in Garland, TX. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. HEALTHTEXAS PROVIDER NETWORK--DALLAS DIAGNOSTIC ASSOCIATION NPI is 1255337275. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601 CLARA BARTON BLVD
STE 300
GARLAND, TX
ZIP 75042-755
Phone: (972) 494-6235
Fax: (972) 272-2073

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 6/23/2005 and was last updated on 4/22/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine00R87RTEXASNo
2207RG0100XInternal MedicineGastroenterology00R87RTEXASNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism00R87RTEXASNo
42084N0400XPsychiatry & NeurologyNeurology00R87RTEXASNo
5207RP1001XInternal MedicinePulmonary Disease00R87RTEXASNo
6207RR0500XInternal MedicineRheumatology00R87RTEXASNo
7207N00000XDermatology00R87RTEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100R87ROTHERTEXASBCBS
2CI2212MEDICARE PINTEXAS
30849374-01MEDICAIDTEXAS
400R87RMEDICARE 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: 3/30/2025

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