NPI age
20 years
Enumerated 2005-06-20
● Active Type 2 · Organization
Healthtexas Provider Network
Healthtexas Provider Network is 1 of 15966 family medicine organizations in Texas.
Primary specialty
Family Medicine
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fourton
Director
Last NPPES update
2010-01-20
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 26% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
2740 N Hwy 360, Suite 100
Grand Prairie, TX 750506401
Mailing address
8080 N Central Expy, Lb 82, Ste 1650
Dallas, TX 75206
Authorized official
Ellen Elizabeth Fourton
Director
📞 9728608649
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Susan Carlson, MSN, ANP Nurse Practitioner NPI 1043266711
- Lisa Kelly, PA-C Physician Assistant NPI 1801187158
- Elsie Manuel, MSN, APRN, FNP-BC Nurse Practitioner NPI 1013236652
- James Peters, D.O. Obstetrics & Gynecology NPI 1407802259
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
Obstetrics & GynecologyAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0811697-02 | |
| 01 (TX) | 0079BV | BCBSTX |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.