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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1972307940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHTEXAS PROVIDER NETWORK

Provider Business Mailing Address
First Line	:	301 N WASHINGTON AVE STE 500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1754
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9101 N CENTRAL EXPY STE 370
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-5947
Country	:	US
Telephone Number	:	469-800-7200
Fax Number	:	469-800-7210

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT ANALYST
Name	:	KATE GONZALEZ
Credential	:
Telephone Number	:	469-800-8742

Provider Enumeration Date	:	04/01/2025
Last Update Date	:	03/23/2026

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Directions to “HEALTHTEXAS PROVIDER NETWORK ” Practice Location

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