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General NPI Number Information
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NPI Number | 1790232007
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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 | 09/02/2016
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 5501 INDEPENDENCE PKWY STE 110
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City | PLANO
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State | TX
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Zip | 75023-5472
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Country | US
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Telephone | 940-381-1501
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Fax | 972-424-9117
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Provider Business Mailing Address
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Address Line | 4401 N INTERSTATE 35 UNIT 312
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City | DENTON
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State | TX
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Zip | 76207-3318
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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 | CREDENTIALING MANAGER
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Name | ANNA 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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