XPRESS PROVIDER SERVICE PLLC NPI 1164982039

NPI Information

XPRESS PROVIDER SERVICE PLLC is a clinic center in Haltom City, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). XPRESS PROVIDER SERVICE PLLC NPI is 1164982039. The provider is registered as an organization entity type.

The provider's business location address is:

2900 DENTON HWY STE A
HALTOM CITY, TX
ZIP 76117-763
Phone: (817) 831-2012

The provider's authorized official is David Teran Chavez .
The authorized official title is Manager and has the following contact phone number (817) 831-2012.

The CLIA number assigned to this NPI record is 45D2163918 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2019 and was last updated on 3/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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