Healthcare Provider Details

I. General information

NPI: 1063916799
Provider Name (Legal Business Name): HEALTH SERVICES OF NORTH TEXAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 11/23/2024
Certification Date: 11/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N LOOP 288 STE 200
DENTON TX
76209-4958
US

IV. Provider business mailing address

4401 N INTERSTATE 35 UNIT 312
DENTON TX
76207-3318
US

V. Phone/Fax

Practice location:
  • Phone: 940-381-1501
  • Fax: 940-591-7830
Mailing address:
  • Phone: 940-381-1501
  • Fax: 940-566-8059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ANNA NAVARRO CONTRERAS
Title or Position: SENIOR PRACTICE ADMINISTRATOR
Credential:
Phone: 940-435-9044