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Organization Active NPI

Healthtexas-Dallas Diagnostic Association

Doing business as Dallas Diagnostic Association

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1245235886
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00845W Issued in TX
Legal business name
HEALTHTEXAS-DALLAS DIAGNOSTIC ASSOCIATION
Doing business as
Dallas Diagnostic Association
Practice address
4708 Alliance Blvd
Ste 300
Plano, TX 75093-5339
Phone
(972) 758-6000
Fax
(972) 758-6001
NPI assigned
Jun 20, 2005
Last updated
Jun 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Mrs. Ellen Elizabeth Fourton
Title
Director
Phone
(972) 860-8649

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 00845W TX
Internal Medicine Physician 207R00000X 00845W TX Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 00845W TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 00845W TX
Gastroenterology Physician 207RG0100X 00845W TX
Pulmonary Disease Physician 207RP1001X 00845W TX
Rheumatology Physician 207RR0500X 00845W TX
Neurology Physician 2084N0400X 00845W TX

Addresses

Primary practice location

4708 Alliance Blvd
Ste 300
Plano, TX 75093-5339

Mailing address

8080 N Central Expy
Ste 600, LB82
Dallas, TX 75206-1838
Phone (972) 860-8648

Other identifiers 2

IdentifierTypeStateIssuer
1678278-01MedicaidTX
00R87ROtherTXBCBS

Other names 1

  • Dallas Diagnostic Association Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 87

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 87

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": "1276214400000",
    "number": "1245235886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N CENTRAL EXPY",
            "address_2": "STE 600, LB82",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061838",
            "telephone_number": "972-860-8648",
            "fax_number": "972-860-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935339",
            "telephone_number": "972-758-6000",
            "fax_number": "972-758-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTEXAS-DALLAS DIAGNOSTIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "FOURTON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-860-8649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "00845W",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "00845W",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "00845W",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "00845W",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "00845W",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "00845W",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "00845W",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "00845W",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1678278-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00R87R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Diagnostic Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.