Healthtexas Provider Network - Neurosurgical Associates, LLP

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

HEALTHTEXAS PROVIDER NETWORK - NEUROSURGICAL ASSOCIATES, LLP

Practice address

1420 8TH Ave
Suite 104
Fort Worth, TX 76104-4138

Phone

(817) 920-0003

Fax

(817) 920-0068

NPI assigned

Aug 29, 2006

Last updated

May 5, 2009By 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 E. Fourton

Title

Director

Phone

(972) 860-8649

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1881702819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N CENTRAL EXPY",
            "address_2": "SUITE 1650",
            "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": "1420 8TH AVE",
            "address_2": "SUITE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044138",
            "telephone_number": "817-920-0003",
            "fax_number": "817-920-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTEXAS PROVIDER NETWORK - NEUROSURGICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "FOURTON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-860-8649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0079LW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1876500-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthtexas Provider Network (Symmetry Anessthesia)
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network (One Medical with Baylor Scott & White Health)
• Healthtexas Provider Network-Transplant Services LLP
• Healthy Heart Medical PA
• Healthy Heart Technical PA
• Kent Healy, DDS
• Dennis J Heard II, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.