| Healthtexas Provider Network | |
|
5232 Colleyville Blvd Suite 100 Colleyville TX 76034-7826 | |
| (817) 498-9920 | |
| (817) 498-0635 |
| Full Name | Healthtexas Provider Network |
|---|---|
| Speciality | Family Medicine |
| Location | 5232 Colleyville Blvd, Colleyville, Texas |
| Authorized Official Name and Position | Ellen Elizabeth Fourton (DIRECTOR) |
| Authorized Official Contact | 9728608649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthtexas Provider Network 8080 N Central Expy Ste 600, Lb82 Dallas TX 75206-3794 Ph: (972) 860-8648 | Healthtexas Provider Network 5232 Colleyville Blvd Suite 100 Colleyville TX 76034-7826 Ph: (817) 498-9920 |
| NPI Number | 1235135906 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 09/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235135906 | NPI | - | NPPES |
| 00T04Z | Other | TX | BCBS |
| 0851099-02 | Medicaid | TX |
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