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General NPI Number Information
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NPI Number | 1265925192
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Entity Type | Organization
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Legal Business Name | HEALTHTEXAS PROVIDER NETWORK
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 2021 N MACARTHUR BLVD STE 300
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City | IRVING
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State | TX
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Zip | 75061
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Country | US
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Telephone | 972-817-1270
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Fax | 972-817-1275
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Provider Business Mailing Address
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Address Line | 301 N WASHINGTON AVE FL 5
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City | DALLAS
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State | TX
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Zip | 75246-1754
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Country | US
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Telephone | 469-800-8742
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER S. REEVES
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Credential |
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Telephone | 469-800-8332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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