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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1427890086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHTEXAS PROVIDER NETWORK

Provider Business Mailing Address
First Line	:	301 N WASHINGTON AVE STE 500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1754
Country	:	US
Telephone Number	:	469-800-8742
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 JUNIUS ST STE 705
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1627
Country	:	US
Telephone Number	:	972-817-7450
Fax Number	:	972-817-7455

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JENNIFER S. REEVES
Credential	:
Telephone Number	:	214-865-2753

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	06/12/2024

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Directions to “HEALTHTEXAS PROVIDER NETWORK ” Practice Location

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