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General NPI Number Information
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NPI Number | 1760488936
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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 | 06/22/2005
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 3600 GASTON AVE STE 656
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City | DALLAS
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State | TX
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Zip | 75246-1906
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Country | US
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Telephone | 214-820-3466
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Fax | 214-820-3468
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Provider Business Mailing Address
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Address Line | 301 N WASHINGTON AVE
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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 | 972-860-8679
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. JENNIFER S. REEVES
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Credential |
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Telephone | 214-865-2753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #13
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #14
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 00N85X
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License Number State | TX
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 00N85X
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License Number State | TX
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