NPIMap

Organization Active NPI

Health Texas Provider Network

  • Physical Medicine & Rehabilitation Physician
  • Frisco, TX
National Provider Identifier
1730149253
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HEALTH TEXAS PROVIDER NETWORK
Practice address
9200 World Cup Way
Suite 201
Frisco, TX 75034-4950
Phone
(972) 712-2669
Fax
(972) 712-4514
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X TX Primary

Addresses

Primary practice location

9200 World Cup Way
Suite 201
Frisco, TX 75034-4950

Mailing address

8080 N Central Expressway LB 82
Ste 1650
Dallas, TX 75206
Phone (972) 860-8648

Other identifiers 1

IdentifierTypeStateIssuer
00T89ZOtherTXBCBS

Other names 1

  • Physiatric Medicine Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1650 W College St
#320
Grapevine, TX 76051
Phone (817) 329-2524

2001 N MacArthur Blvd
Ste 201
Irving, TX 75061
Phone (972) 254-6022

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1730149253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N CENTRAL EXPRESSWAY LB 82",
            "address_2": "STE 1650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75206",
            "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": "9200 WORLD CUP WAY",
            "address_2": "SUITE 201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344950",
            "telephone_number": "972-712-2669",
            "fax_number": "972-712-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH TEXAS PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-02-21",
        "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": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00T89Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiatric Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.