Organization Name: | HEALTHTEXAS PROVIDER NETWORK |
NPI Number: | 1528063146 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLEN ELIZABETH FOURTON (DIRECTOR) |
Mailing Address: | 2740 N Hwy 360 Suite 100 Grand Prairie |
State: | TX US |
Postal Code: | 750506401 |
Phone Number: | 9726068300 |
Fax Number: | 9726064940 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 01/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 0079BV |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |