HEALTHTEXAS PROVIDER NETWORK NPI 1528063146

NPI Information

NPI: 1528063146
Provider Name: HEALTHTEXAS PROVIDER NETWORK
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2740 N HWY 360
SUITE 100
GRAND PRAIRIE, TX
ZIP 75050
Phone: (972) 606-8300
Get Directions

HEALTHTEXAS PROVIDER NETWORK is a family medicine in Grand Prairie, 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 1528063146. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2740 N HWY 360
SUITE 100
GRAND PRAIRIE, TX
ZIP 75050-401
Phone: (972) 606-8300
Fax: (972) 606-4940

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 6/20/2005 and was last updated on 1/20/2010.

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	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	0079BV	TEXAS	No
2	207R00000X	Internal Medicine	0079BV	TEXAS	No
3	207Q00000X	Family Medicine	0079BV	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	CJ6861	MEDICARE PIN	TEXAS
2	0811697-02	MEDICAID	TEXAS
3	0079BV	MEDICARE PIN	TEXAS
4	0079BV	OTHER	TEXAS	BCBSTX

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

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