Provider Demographics
NPI:1710732896
Name:GENERATION HEALTH IN TEXAS
Entity type:Organization
Organization Name:GENERATION HEALTH IN TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAWTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-371-4591
Mailing Address - Street 1:2817 STARK ST STE D
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-6562
Mailing Address - Country:US
Mailing Address - Phone:817-534-9600
Mailing Address - Fax:817-534-9600
Practice Address - Street 1:2817 STARK ST STE D
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-6562
Practice Address - Country:US
Practice Address - Phone:817-534-9600
Practice Address - Fax:817-534-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty