| Healthtexas Provider Network--dallas Diagnostic Association | |
|
601 Clara Barton Blvd Ste 300 Garland TX 75042-5755 | |
| (972) 494-6235 | |
| (972) 272-2073 |
| Full Name | Healthtexas Provider Network--dallas Diagnostic Association |
|---|---|
| Speciality | Dermatology |
| Location | 601 Clara Barton Blvd, Garland, Texas |
| Authorized Official Name and Position | Ellen Elizabeth Fourton (DIRECTOR) |
| Authorized Official Contact | 9728608649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthtexas Provider Network--dallas Diagnostic Association 8080 N Central Expy Ste 600, Lb82 Dallas TX 75206-1838 Ph: (972) 860-8648 | Healthtexas Provider Network--dallas Diagnostic Association 601 Clara Barton Blvd Ste 300 Garland TX 75042-5755 Ph: (972) 494-6235 |
| NPI Number | 1255337275 |
|---|---|
| Provider Enumeration Date | 06/23/2005 |
| Last Update Date | 04/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255337275 | NPI | - | NPPES |
| 00R87R | Other | TX | BCBS |
| 0849374-01 | Medicaid | TX |
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