OrganizationHealth Texas Provider Network-Family Practice Of North Texas LlpFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1001 12th Ave, Suite 130, Fort Worth, TX 76104-3926(817) 921-6166(972) 860-8653PECOS EnrollmentBased on the most recent information from CMS, provider Health Texas Provider Network-Family Practice Of North Texas Llp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1114919172Provider TypeOrganizationFull NameHealth Texas Provider Network-Family Practice Of North Texas LlpSubpartNoEnumeration Date8/16/2005Last Updated2/19/2008Contact InformationPractice LocationPractice Address1001 12th Ave, Suite 130, Fort Worth, TX 76104-3926Phone(817) 921-6166Fax(817) 921-9594Mailing LocationMailing Address8080 N Central Expy, Suite 1650, Dallas, TX 75206-1838Phone(972) 860-8653Fax(972) 860-8679Authorized OfficialNameFourton, Ellen Elizabeth (Director)Phone(972) 860-8649Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense00997YTexas