Provider Demographics
NPI:1942513486
Name:COMMUNITY HEALTHCARE OF TEXAS
Entity Type:Organization
Organization Name:COMMUNITY HEALTHCARE OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT TNPHA
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-202-7132
Mailing Address - Street 1:6100 WESTERN PL STE 500
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-4667
Mailing Address - Country:US
Mailing Address - Phone:817-870-2795
Mailing Address - Fax:
Practice Address - Street 1:6100 WESTERN PL STE 500
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-4667
Practice Address - Country:US
Practice Address - Phone:817-870-2795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty