MEDICARE: HEALTH TREK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1417809112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH TREK LLC

Provider Business Mailing Address
First Line	:	4528 LEE ST
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4157
Country	:	US
Telephone Number	:	469-617-8782
Fax Number	:

Provider Business Practice Location Address
First Line	:	4528 LEE ST
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4157
Country	:	US
Telephone Number	:	469-617-8782
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MICHAEL SCOTT GATES
Credential	:	PHD
Telephone Number	:	469-617-8782

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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