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NPI Provider: 1992700512
Contact Name: Fourton Elizabeth Ellen
Position: Director
Phone: (972) 860-8649
Healthtexas Provider Network-medprovider Information:
Healthtexas Provider Network-medprovider organization have npi 1992700512, taxonomy code is 207R00000X with license number is 00T27E in . This Business address located in 8080 N Central Expy, LB 82, Dallas, TX 75206 Texas. Get directions of Healthtexas Provider Network-medprovider.
Practice Location
Address: 3434 Swiss Ave, Dallas, TX 75204
Phone: (214) 828-0010
Business Location
Address: 8080 N Central Expy, LB 82, Dallas, TX 75206
Phone: (972) 860-8648
Fax: (972) 860-8679
Taxonomy
Taxonomy Code: 207R00000X
License Number: 00T27E
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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