NPIMap

Organization Active NPI

Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP

  • Surgery Physician
  • Waxahachie, TX
National Provider Identifier
1871598458
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00863W Issued in TX
Legal business name
HEALTHTEXAS PROVIDER NETWORK - WAXAHACHIE SURGICAL SPECIALIST, LLP
Practice address
1505 W Jefferson St
Ste 165
Waxahachie, TX 75165-2200
Phone
(972) 923-1457
Fax
(972) 923-1304
NPI assigned
Jun 20, 2005
Last updated
Feb 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 00863W TX Primary

Addresses

Primary practice location

1505 W Jefferson St
Ste 165
Waxahachie, TX 75165-2200

Mailing address

8060 N Central Expy
Ste 1650
Dallas, TX 75206-1801
Phone (972) 860-8653

National Provider Directory

National Provider Directory

Locations

8060 N Central Expy
Ste 1650
Dallas, TX 75206

1305 W Jefferson St
Ste 115
Waxahachie, TX 75165
Phone (903) 875-0413

1305 W Jefferson St
Ste 120
Waxahachie, TX 75165
Phone (972) 923-1457

1505 W Jefferson St
Ste 165
Waxahachie, TX 75165
Phone (972) 923-1457

Practitioners & affiliated clinicians

Practitioners 9

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.

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": "1203724800000",
    "number": "1871598458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 N CENTRAL EXPY",
            "address_2": "STE 1650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061801",
            "telephone_number": "972-860-8653",
            "fax_number": "972-860-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W JEFFERSON ST",
            "address_2": "STE 165",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652200",
            "telephone_number": "972-923-1457",
            "fax_number": "972-923-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTEXAS PROVIDER NETWORK - WAXAHACHIE SURGICAL SPECIALIST, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-02-23",
        "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": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "00863W",
            "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 Feb 23, 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.