NPIMap

Organization Active NPI

Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1003811639
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00348T Issued in TX
Legal business name
HEALTHTEXAS PROVIDER NETWORK
Practice address
1820 Preston Park Blvd Ste 1450
Plano, TX 75093-3691
Phone
(469) 800-4540
Fax
(469) 800-4541
NPI assigned
Jun 20, 2005
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer S. Reeves
Title
Director
Phone
(214) 865-2753

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00348T TX Primary
Obstetrics & Gynecology Physician 207V00000X 00348T TX
Physical Medicine & Rehabilitation Physician 208100000X 00348T TX

Addresses

Primary practice location

1820 Preston Park Blvd Ste 1450
Plano, TX 75093-3691

Mailing address

301 N Washington Ave
Dallas, TX 75246-1754
Phone (469) 800-8742

Other identifiers 2

IdentifierTypeStateIssuer
0092HQOtherTXBCBSTX
1516171-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727001187 TX Part B Supplier - Clinic/Group Practice 1355254210 Receives reassigned benefits from 3,506 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 255)

1003 E Mount Hope Ave
Lansing, MI 48910
Phone (517) 853-3704

515 W Main St
Ste 110
Allen, TX 75013
Phone (469) 833-3774

26791 US Highway 380 E
Ste 101
Aubrey, TX 76227
Phone (469) 800-5750

9800 N Lake Creek Pkwy
Austin, TX 78717
Phone (512) 336-3400

3700 Cheek Sparger Rd
Ste 170
Bedford, TX 76021
Phone (817) 912-8100

12500 South Fwy
Burleson, TX 76028

12500 South Fwy
Ste 207
Burleson, TX 76028
Phone (817) 912-8530

4333 N Josey Ln
Ste Ii
Carrollton, TX 75010

4340 N Josey Ln
Ste 300
Carrollton, TX 75010

4344 N Josey LN
Carrollton, TX 75010

296 Uptown Blvd Ste 100
Cedar Hill, TX 75104

5232 Colleyville Blvd
Ste 100
Colleyville, TX 76034
Phone (817) 912-9920

5235 Colleyville Blvd
Ste 100
Colleyville, TX 76034

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

878 S Denton Tap Rd
Ste 100
Coppell, TX 75019

301 Hospital Dr
Ste 197
Corsicana, TX 75110

3201 W State Highway 22
Ste 102
Corsicana, TX 75110
Phone (903) 872-6262

13350 T I Blvd
Ste MS327
Dallas, TX 75243

1600 Pennsylvania Ave
Dallas, TX 75215
Phone (469) 227-2700

2301 S Hampton Rd
Ste 500
Dallas, TX 75224
Phone (214) 330-3937

2625 Elm St
Ste 110
Dallas, TX 75226

2731 E Lemmon Ave
Dallas, TX 75204

3409 Worth St
Ste 420
Dallas, TX 75246
Phone (214) 820-2346

3409 Worth St
Ste 605
Dallas, TX 75246

3409 Worth St
Ste 640
Dallas, TX 75246
Phone (469) 800-7180

Practitioners & affiliated clinicians

Practitioners 2,336

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 2,336

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1003811639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461754",
            "telephone_number": "469-800-8742",
            "fax_number": "469-800-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 1450",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933691",
            "telephone_number": "469-800-4540",
            "fax_number": "469-800-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTEXAS PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-865-2753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "00348T",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "00348T",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "00348T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0092HQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516171-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.