institution
Healthtexas Provider Network
Rural Health Clinic/Center in Greenville, Texas
NPI 1790723468

Healthtexas Provider Network is a Rural Health Clinic/Center based in Dallas, TX and is specialized in Rural Health. Healthtexas Provider Network practices in Greenville, TX. The NPI Number for Healthtexas Provider Network is 1790723468 and holds a License No. (Texas).

The current practice location address for Healthtexas Provider Network is 4400 Ih 30 W, Greenville, TX and can be reached out via phone at 469-800-3524 and via fax at 469-800-3564.

Location: 4400 Ih 30 W, Greenville, TX, 75206-3794
institution
Provider Profile Details
NPI Number
1790723468
Provider Name
Healthtexas Provider Network
Credential
Provider Entity Type
Organization
Address
4400 Ih 30 W, Greenville, TX, 75206-3794
Phone Number
469-800-3524
Fax Number
469-800-3564
Provider Enumeration Date
06/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00J629 01 TX BCBS GROUP
137940607 05 TX
091888002 05 TX
137940601 05 TX
institution
Provider Business Practice Location Address Details
Address
4400 Ih 30 W
City
State
Zip
75402-4620
Phone Number
469-800-3524
Fax Number
469-800-3564
person
Provider Business Mailing Address Details
Address
4400 Ih 30 W
City
State
Zip
75402-4620
Phone Number
469-800-3524
Fax Number
469-800-3564
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
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Definition
Definition to come...
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