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NPI Provider: 1922004084
Contact Name: Fourton Elizabeth Ellen
Position: Director
Phone: (972) 860-8649
Healthtexas Provider Network Information:
Healthtexas Provider Network organization have npi 1922004084, taxonomy code is 208G00000X with license number is 00586X in . This Business address located in 8080 N Central Expy, Dallas, TX 75206 Texas. Get directions of Healthtexas Provider Network.
Practice Location
Address: 505 N Highway 77, Waxahachie, TX 75165
Phone: (214) 827-3890
Business Location
Address: 8080 N Central Expy, Dallas, TX 75206
Phone: (972) 860-8653
Fax: (972) 860-8679
Taxonomy
Taxonomy Code: 208G00000X
License Number: 00586X
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/23/2005
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