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NPI 1013326412

NPI 1013326412 : HEALTH SERVICES OF NORTH TEXAS, INC. : WYLIE, TX

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General NPI Number Information
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    NPI Number           |    1013326412
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH SERVICES OF NORTH TEXAS, INC. 
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Dates
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    Enumeration Date     |    08/11/2014
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    Last Update Date     |    11/23/2024
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Provider Practice Location Address
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    Address Line         |    303 S HIGHWAY 78 STE 106 
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    City                 |    WYLIE
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    State                |    TX
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    Zip                  |    75098-3915
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    Country              |    US
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    Telephone            |    940-381-1501
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    Fax                  |    972-801-9015
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Provider Business Mailing Address
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    Address Line         |    4401 N INTERSTATE 35 SUITE 312
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76207-3432
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    Country              |    US
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    Telephone            |    940-381-1501
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    Fax                  |    940-566-8059
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Authorized Official
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    Title or Position    |    SENIOR PRACTICE ADMINISTRATOR
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    Name                 |     ANNA NAVARRO CONTRERAS 
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    Credential           |    
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    Telephone            |    940-435-9044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    
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