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NPI Provider: 1528063146
Contact Name: Fourton Elizabeth Ellen
Position: Director
Phone: (972) 860-8649
Healthtexas Provider Network-medical Center At Riverside Information:
Healthtexas Provider Network-medical Center At Riverside organization have npi 1528063146, taxonomy code is 207Q00000X with license number is 0079BV in . This Business address located in 8080 N Central Expy, LB 82, Dallas, TX 75206 Texas. Get directions of Healthtexas Provider Network-medical Center At Riverside.
Practice Location
Address: 2210 N Hwy 360, Grand Prairie, TX 75050
Phone: (972) 606-8300
Business Location
Address: 8080 N Central Expy, LB 82, Dallas, TX 75206
Phone: (972) 860-8653
Fax: (972) 860-8679
Taxonomy
Taxonomy Code: 207Q00000X
License Number: 0079BV
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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