HEALTHTEXAS PROVIDER NETWORK NPI 1235135906

NPI Information

NPI: 1235135906
Provider Name: HEALTHTEXAS PROVIDER NETWORK
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5232 COLLEYVILLE BLVD
SUITE 100
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 498-9920
Get Directions

HEALTHTEXAS PROVIDER NETWORK is a family medicine in Colleyville, 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 1235135906. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5232 COLLEYVILLE BLVD
SUITE 100
COLLEYVILLE, TX
ZIP 76034-826
Phone: (817) 498-9920
Fax: (817) 498-0635

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 6/27/2005 and was last updated on 9/4/2012.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	00T04Z	TEXAS	No
2	207R00000X	Internal Medicine		00T04Z	TEXAS	No
3	207RG0100X	Internal Medicine	Gastroenterology	00T04Z	TEXAS	No
4	207RI0008X	Internal Medicine	Hepatology	00T04Z	TEXAS	No
5	207RR0500X	Internal Medicine	Rheumatology	00T04Z	TEXAS	No
6	208600000X	Surgery		00T04Z	TEXAS	No
7	208800000X	Urology		00T04Z	TEXAS	No
8	207Q00000X	Family Medicine		00T04Z	TEXAS	Yes

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
1	CJ5623	MEDICARE PIN	TEXAS
2	CD6866	MEDICARE PIN	TEXAS
3	CI8938	MEDICARE PIN	TEXAS
4	00T04Z	OTHER	TEXAS	BCBS
5	0851099-02	MEDICAID	TEXAS
6	00T04Z	MEDICARE PIN	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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