Healthtexas Provider Network
Organization Active NPI Anesthesiology Physician · Lakeway, TX
NPI 1104714583 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1104714583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- HEALTHTEXAS PROVIDER NETWORK
- Practice address
- 100 Medical Pkwy
Lakeway, TX 78738-5621 - Phone
- (512) 571-5000
- NPI assigned
- Jun 25, 2025
- Organization subpart
- No
Authorized official
- Name
- Jennifer S. Reeves
- Title
- Director
- Phone
- (214) 865-2753
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 20
Practitioners 3,445
-
Bushra Abbasi, MD
-
Amanda Abbott, D.O.
-
Ahmed Basem Abdel Rahman, MD, FRCPC, MBA
-
Shawn M Abel, MD
-
Caroline Abercrombie, ACNP
-
Henia Azhar Abid, D.O.
-
Alfred Abraham, DO
-
Jai Abraham, ACNP
-
Juine Abraham, RN., NP-C
-
Suma Abraham, M.D.
-
Ashish A Acharya, M.D.
-
Sampada Acharya, MD
-
Lindsey Ackerman, AGACNP-C
-
Jessica D. Acuff, MSN, NP-C
-
Mari Adachi, MD
-
Meredith Michelle Adams, D.O.
-
Shicobie Adams, FNP-C
-
Jeffry F Adcock, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- BSW Advanced Heart Failure
Locations (25 of 107)
1453 E Bert Kouns Industrial Loop
Ste 212
Shreveport, LA 71105
Phone (214) 820-6856
4340 N Josey Ln
Ste 204
Carrollton, TX 75010
Phone (469) 800-4900
400 Hospital Dr
Ste 104
Corsicana, TX 75110
Phone (903) 641-4856
9101 N Central Expy
Ste 300A
Dallas, TX 75231
Phone (469) 800-2200
1632 Mlk Blvd
Ste 300
Dallas, TX 75215
Phone (972) 817-6000
3600 Gaston Ave
Ste 454
Dallas, TX 75246
Phone (214) 820-2302
3500 Gaston Ave
#2
Dallas, TX 75246
Phone (214) 820-2671
13350 Ti Blvd
#327
Dallas, TX 75243
Phone (972) 671-9504
7777 Forest Ln
Ste C106
Dallas, TX 75230
Phone (214) 823-7090
3417 Gaston Ave
Ste 1100
Dallas, TX 75246
Phone (469) 800-9000
3600 Gaston Ave
Ste 1055
Dallas, TX 75246
Phone (214) 821-4540
9101 N Central Expy
Ste 420
Dallas, TX 75231
Phone (214) 820-8220
3434 Swiss Ave
Ste 420
Dallas, TX 75204
Phone (214) 363-2305
3500 Gaston Ave
Ste H30
Dallas, TX 75246
Phone (214) 820-7911
3600 Gaston Ave
Ste 455
Dallas, TX 75246
Phone (214) 820-9770
3900 Junius St
Ste 230
Dallas, TX 75246
Phone (469) 800-7700
2731 E Lemmon Ave
Ste 200
Dallas, TX 75204
Phone (214) 219-6655
5926 W Northwest Hwy
#One
Dallas, TX 75225
6301 Gaston Ave
Ste 300
Dallas, TX 75214
Phone (469) 800-7100
9409 Garland Rd
Dallas, TX 75218
Phone (214) 319-0000
9101 N Central Expy
Ste 150
Dallas, TX 75231
Phone (214) 265-1818
3417 Gaston Ave
Ste 965
Dallas, TX 75246
Phone (214) 820-7010
9101 N Central Expy
Ste 300C
Dallas, TX 75231
Phone (469) 800-7100
3600 Gaston Ave
Ste 901
Dallas, TX 75246
Phone (214) 827-5525
8201 Preston Rd
Ste 200
Dallas, TX 75225
Phone (214) 363-2305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
100 Medical Pkwy
Lakeway, TX 78738-5621
Mailing address
301 N Washington Ave
Dallas, TX 75246-1754
Phone (469) 800-8742
Other names
- Symmetry Anesthesia
Other providers in Lakeway, TX
- Andrea Harris
- Fatima S Hatia
- Leeanne Haus
- Angela Lynn Havens
- Amanda Haynes
- Healthtexas Provider Network
- Healthy Smiles of Lakeway
- Molly Dee Heath
- Helix Physical Therapy & Chiropractic LLC
- Paul James Hendricks
All providers in Lakeway, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.