HEALTHTEXAS PROVIDER NETWORK (NPI# 1629074893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629074893 |
| Entity Type | Organization |
| Organization Name | HEALTHTEXAS PROVIDER NETWORK |
| Practice Address |
505 N Highway 77 Ste 200 Waxahachie TX 75165-1129 |
| Mailing Address |
8080 N Central Expressway, Lb 82 Ste 1650 Dallas TX 75206 |
| Practice Telephone | 9729231686 |
| Practice Fax Number | 9729239268 |
| Mailing Telephone | 9728608648 |
| Mailing Fax Number | 9728608679 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2008-02-18 |
| Authorized Official Name | MRS. ELLEN ELIZABETH FOURTON (DIRECTOR) |
| Authorized Official Telephone | 9728608649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 00T26W | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 00T26W | TX | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 00T26W | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00T26W | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488663 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 1505 W Jefferson St Ste 160, Waxahachie, TX 75165-2200 | 2019-10-08 |
| 1962043240 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 4601 Old Shepard Pl Ste 301, Plano, TX 75093-5279 | 2019-10-08 |
| 1619518495 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 2020 W State Highway 114 Ste 190, Grapevine, TX 76051-8649 | 2019-10-03 |
| 1356991582 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 5220 W University Dr Ste 220, Mckinney, TX 75071-7074 | 2019-09-19 |
| 1063977908 | Healthtexas Provider Network | Physical Therapist | 3800 Gaylord Pkwy Ste 810, Frisco, TX 75034-9420 | 2019-02-05 |
| 1891239430 | Healthtexas Provider Network | Physical Therapist | 4400 I H 30 W Ste 120, Greenville, TX 75402-4615 | 2016-12-16 |
| 1235135906 | Healthtexas Provider Network | Psychiatry & Neurology | 5232 Colleyville Blvd, Suite 100, Colleyville, TX 76034-7826 | 2005-06-27 |
| 1427054402 | Healthtexas Provider Network | Family Medicine | 1110 Parker Sq, Flower Mound, TX 75028-7432 | 2005-06-23 |
| 1205831898 | Healthtexas Provider Network | Internal Medicine | 4004 Worth St, Ste 300, Dallas, TX 75246-1600 | 2005-06-20 |
| 1538164116 | Healthtexas Provider Network | Family Medicine | 6435 S Fm 549, Ste 201, Heath, TX 75032-6221 | 2005-06-20 |
| Street Address |
505 N HIGHWAY 77 STE 200 |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215353123 | Lindsay Tucker | Nurse Practitioner | 505 N Highway 77, Waxahachie, TX 75165-1128 | 2014-03-16 |
| 1891036927 | Robert Lee Saenz | Counselor | 505 N Highway 77, Waxahachie, TX 75165-1128 | 2013-03-14 |
| 1649599556 | Medical and Surgical Associates of Corsicana | Allergy & Immunology | 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | 2010-05-18 |
| 1942399530 | Ella Viktorovna Farricielli | Internal Medicine | 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | 2006-10-12 |
| 1427166511 | Norma Jean Caddell | Nurse Practitioner | 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | 2006-08-28 |
| 1891808275 | Sara Holly Moreland | Nurse Practitioner | 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | 2006-08-17 |
| 1164454583 | Christine Jane Winsett | Nurse Practitioner | 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | 2006-07-07 |
| 1093743569 | Travis Scott Henry | Pediatrics | 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | 2006-06-30 |
| 1891723367 | David Lane Linguist | Family Medicine | 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | 2006-06-30 |
| 1952347353 | Deborah Chan Fung | Pediatrics | 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811339187 | Christian Hyun | Internal Medicine | 2400 N Interstate 35 East Service Rd, Waxahachie, TX 75165 | 2013-07-26 |
| 1457607830 | Neal Vassa | Internal Medicine | 2400 N I 35e, Waxahachie, TX 75165-5240 | 2012-08-03 |
| 1376842120 | Sharon Choi | Internal Medicine | 1305 W Jefferson St Ste 100, Waxahachie, TX 75165-2211 | 2011-03-18 |
| 1801101118 | Mahesh Kottapalli, M.d., P.a. | Internal Medicine | 151 Rvg Pkwy Ste 101, Waxahachie, TX 75165-5241 | 2010-08-11 |
| 1679502538 | Brett Mckinney Thacker | Internal Medicine | 201 Ferris Avenue, Suite I, Waxahachie, TX 75165 | 2006-07-02 |
| 1518909795 | Ransome Njeka Etindi | Internal Medicine | 300 Sioux Court, Waxahachie, TX 75165-1128 | 2006-06-12 |
| 1821449786 | Farhana Karim Polara | Internal Medicine | 2400 N I 35, Waxahachie, TX 75165-5240 | 2016-06-22 |
| 1093162638 | Lam Le | Internal Medicine | 2400 N I 35, Waxahachie, TX 75165-5240 | 2016-05-23 |
| 1376985200 | Saleh Musleh | Internal Medicine | 2400 N I 35, Waxahachie, TX 75165-5240 | 2013-07-19 |
| 1982044723 | Bilal Athar Jalil | Internal Medicine | 141 Rvg Pkwy Ste 101, Waxahachie, TX 75165-5289 | 2013-06-25 |
| Find all providers in WAXAHACHIE | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.