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Healthtexas Provider Network

Family Medicine Physician in Grand Prairie, TX · enumerated 2005 · authorized official Ellen Fourton, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528063146

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Registry record

Entity type Organization (Type 2)
Legal business name Healthtexas Provider Network
Practice address 2740 N Hwy 360, Suite 100, Grand Prairie, TX, 75050
Fax (972) 606-4940
Enumeration date Jun 20, 2005
Last updated in NPPES Jan 20, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0079BV (TX) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 0079BV (TX) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 0079BV (TX) Secondary

Authorized official

Name Ellen Fourton
Title Director

Other identifiers

Identifier Type State Issuer
0811697-02 Medicaid TX -
0079BV Other TX BCBSTX

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Healthtexas Provider Network located?
The practice location on file with NPPES is in Grand Prairie, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-01-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-20.