Active NPI
Healthtexas Provider Network
- Durable Medical Equipment & Medical Supplies
- Waxahachie, TX
National Provider Identifier
1306488663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HEALTHTEXAS PROVIDER NETWORK
- Practice address
- 1505 W Jefferson St Ste 160
Waxahachie, TX 75165-2200 - Phone
- (214) 820-8700
- NPI assigned
- Oct 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle J Telford
- Title
- Managed Care Consultant
- Phone
- (469) 800-8648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1505 W Jefferson St Ste 160
Waxahachie, TX 75165-2200
Mailing address
301 N Washington Ave
Dallas, TX 75246-1754
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1505 W Jefferson St
Ste 160
Waxahachie, TX 75165
Phone (214) 820-1748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1306488663",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W JEFFERSON ST STE 160",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751652200",
"telephone_number": "214-820-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHTEXAS PROVIDER NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-08",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "TELFORD",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGED CARE CONSULTANT",
"authorized_official_telephone_number": "469-800-8648"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.