Healthtexas Provider Network-Transplant Services LLP

Primary specialty

Transplant Surgery PhysicianTaxonomy code 204F00000X

License

00732U Issued in TX

Legal business name

HEALTHTEXAS PROVIDER NETWORK-TRANSPLANT SERVICES LLP

Practice address

1400 8TH Ave
Fort Worth, TX 76104-4110

Phone

(817) 922-4650

Fax

(817) 922-4655

NPI assigned

Jul 6, 2005

Last updated

May 5, 2010By the provider in NPPES

Organization subpart

No

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 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1790782654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N CENTRAL EXPY",
            "address_2": "SUITE 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": "1400 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-922-4650",
            "fax_number": "817-922-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTEXAS PROVIDER NETWORK-TRANSPLANT SERVICES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2010-05-05",
        "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": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "00732U",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "00732U",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0078JQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159147101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network (One Medical with Baylor Scott & White Health)
• Healthtexas Provider Network - Neurosurgical Associates, LLP
• Healthy Heart Medical PA
• Healthy Heart Technical PA
• Kent Healy, DDS
• Dennis J Heard II, D.O.
• Hearing Improvement Inc (Hearing Care Center)

• Transplant Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Transplant Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.