MEDICARE: HEALTHTEXAS PROVIDER NETWORK

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	:	1962730077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHTEXAS PROVIDER NETWORK

Provider Business Mailing Address
First Line	:	8080 N CENTRAL EXPY
Second Line	:	SUITE 1650
City	:	DALLAS
State	:	TX
Zip	:	75206-1838
Country	:	US
Telephone Number	:	972-860-8648
Fax Number	:	972-860-8679

Provider Business Practice Location Address
First Line	:	8080 N CENTRAL EXPY
Second Line	:	SUITE 1650
City	:	DALLAS
State	:	TX
Zip	:	75206-1838
Country	:	US
Telephone Number	:	972-860-8648
Fax Number	:	972-860-8679

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ELLEN E FOURTON
Credential	:
Telephone Number	:	972-860-8649

Provider Enumeration Date	:	12/01/2009
Last Update Date	:	12/01/2009

Similar Medicare Providers

1124242425 — DR. NACE ANTHONY FORMAGUS JR.
Practice Location Address:

8080 N CENTRAL EXPY , 380
DALLAS, TX
75206-1838

Practice Phone: 214-340-9179
Practice Fax:

1740672955 — ALANNA WOOLSEY LCSW
Practice Location Address:

8080 N CENTRAL EXPY
DALLAS, TX
75206-1838

Practice Phone: 972-860-8600
Practice Fax:

1063885085 — TERI RUTHERFORD FNP-C
Practice Location Address:

8080 N CENTRAL EXPY
DALLAS, TX
75206-1838

Practice Phone: 972-658-3741
Practice Fax:

1952978629 — ELAM HEALTH AND WELLNESS
Practice Location Address:

8080 N CENTRAL EXPY STE 1740
DALLAS, TX
75206-1838

Practice Phone: 214-886-6030
Practice Fax:

1184457376 — BRIANA D BASS
Practice Location Address:

8080 N CENTRAL EXPY
DALLAS, TX
75206-1838

Practice Phone: 405-615-1844
Practice Fax:

1427937663 — SBT ULTRASOUND SERVICES, LLC
Practice Location Address:

8080 N CENTRAL EXPY STE 1712
DALLAS, TX
75206-1838

Practice Phone: 214-237-2986
Practice Fax: 469-466-5558

Directions to “HEALTHTEXAS PROVIDER NETWORK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.