Provider Demographics
NPI:1730114869
Name:DENTON TEXAS HEALTH MANAGEMENT, PLLC
Entity Type:Organization
Organization Name:DENTON TEXAS HEALTH MANAGEMENT, PLLC
Other - Org Name:FAMILY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-484-5106
Mailing Address - Street 1:1501 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3021
Mailing Address - Country:US
Mailing Address - Phone:940-387-0019
Mailing Address - Fax:940-387-0010
Practice Address - Street 1:1501 N ELM ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3021
Practice Address - Country:US
Practice Address - Phone:940-387-0019
Practice Address - Fax:940-387-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00842ZMedicare ID - Type Unspecified