Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1821123399 |
| LBN Legal business name | HEALTHTEXAS PROVIDER NETWORK |
| Authorized official | ELLEN FOURTON - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/23/2007 |
| Last updated | 09/11/2025 - About 9 months ago |
| Identifiers | n/a |
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