Healthtexas-Med Provider

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00T27E Issued in TX

Legal business name

HEALTHTEXAS-MED PROVIDER

Practice address

3417 Gaston Ave
Suite 1000
Dallas, TX 75246-2016

Phone

(469) 800-9000

Fax

(469) 800-9010

NPI assigned

Jun 20, 2005

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

(469) 800-8649

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 53

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

• Julia F Agostini, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1417900390
  NPD (past)
• Amy Stevens Anderson, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1366452203

  Internal Medicine

  NPD (past)
• Robert W Baird, M.D.

  • Pulmonary Disease Physician
  • Dallas, TX
  • NPI 1942259163
  NPD (past)
• Robert H Beard, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1710901764

  Internal Medicine

  NPD (past)
• Steven R Bray, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1417971474

  Internal Medicine

  NPD (past)
• Samuel Houston Cade Jr., MD

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1568415008
  NPD (past)
• Mark Andrew Casanova, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1154332088

  Internal Medicine

  NPD (past)
• John George Casey, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1356353395

  Internal Medicine

  NPD (past)
• Amy Hudson Childs, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1407895063
  NPD (past)
• Chandra Lyn Davenport, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1194810622
  NPD (past)
• Tom Moore Dees, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1417969460

  Internal Medicine

  NPD (past)
• William Dee Dockery III, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1053364927
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1992700512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N CENTRAL EXPY # LB82",
            "address_2": "STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063794",
            "telephone_number": "469-800-8648",
            "fax_number": "469-800-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 GASTON AVE",
            "address_2": "SUITE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462016",
            "telephone_number": "469-800-9000",
            "fax_number": "469-800-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTEXAS-MED PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2017-04-20",
        "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": "469-800-8649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "00T27E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0851826-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthtexas Provider Network - Imaging, LLP
• Healthtexas Provider Network-Neurosurgical Associates, LLP
• Healthtexas Provider Network-Orthopedic Services, LLP
• Healthtexas Provider Network-Physiatric Medicine Associates
• Healthtexas Provider Network-Transplant Services LLP
• Healthy Hairlines Hair Loss Clinic
• Healthy Living Dallas
• Healthy Young Minds TX LLC
• Healwell DME LLC
• Hear in Dallas

• All providers in Dallas, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.