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NPI Code Detail

MEDICARE: HEALTHTEXAS PROVIDER NETWORK

MEDICARE: HEALTHTEXAS PROVIDER NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician00U07BTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427054402
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHTEXAS PROVIDER NETWORK
Provider Business Mailing Address
First Line : 301 N WASHINGTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-1754
Country : US
Telephone Number : 469-800-8742
Fax Number : 972-860-8679
Provider Business Practice Location Address
First Line : 1110 PARKER SQ
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-7432
Country : US
Telephone Number : 972-724-1707
Fax Number : 972-724-1407
Authorized Official
Title or Position : DIRECTOR
Name : MRS. JENNIFER S. REEVES
Credential :
Telephone Number : 214-865-2753
Provider Enumeration Date : 06/23/2005
Last Update Date : 01/06/2025

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Directions to “HEALTHTEXAS PROVIDER NETWORK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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