| Healthtexas Provider Network | |
|
5575 Warren Pkwy Ste. 115 Frisco TX 75034-4062 | |
| (972) 712-3652 | |
| (214) 618-3614 |
| Full Name | Healthtexas Provider Network |
|---|---|
| Speciality | Family Medicine |
| Location | 5575 Warren Pkwy, Frisco, Texas |
| Authorized Official Name and Position | Ellen Elizabeth Fourton (DIRECTOR) |
| Authorized Official Contact | 4698008649 |
| 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: (469) 800-8648 | Healthtexas Provider Network 5575 Warren Pkwy Ste. 115 Frisco TX 75034-4062 Ph: (972) 712-3652 |
| NPI Number | 1003811639 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003811639 | NPI | - | NPPES |
| 1516171-02 | Medicaid | TX | |
| 0092HQ | Other | TX | BCBSTX |
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