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NPI Provider: 1003811639
Contact Name: Fourton Elizabeth Ellen
Position: Director
Phone: (972) 860-8649
Health Texas Provider Network Information:
Health Texas Provider Network organization have npi 1003811639, taxonomy code is 207Q00000X with license number is 00348T in . This Business address located in 8080 N Central Expy, Dallas, TX 75206 Texas. Get directions of Health Texas Provider Network.
Practice Location
Address: 5575 Warren Pkwy, Frisco, TX 75034
Phone: (972) 712-3652
Business Location
Address: 8080 N Central Expy, Dallas, TX 75206
Phone: (972) 860-8653
Fax: (972) 860-8679
Taxonomy
Taxonomy Code: 207Q00000X
License Number: 00348T
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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