Healthcare Provider Details

I. General information

NPI: 1871680421
Provider Name (Legal Business Name): HEALTHTEXAS PROVIDER NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7848 GATEWAY BLVD E
EL PASO TX
79915-1815
US

IV. Provider business mailing address

8080 N CENTRAL EXPY SUITE 1650
DALLAS TX
75206-1838
US

V. Phone/Fax

Practice location:
  • Phone: 915-599-1313
  • Fax: 915-599-1635
Mailing address:
  • Phone: 972-860-8648
  • Fax: 972-860-8679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELLEN ELIZABETH FOURTON
Title or Position: DIRECTOR
Credential:
Phone: 972-860-8649