CHOICE SUPPORTIVE CARE TEAM INC. NPI 1174155477

NPI Information

NPI: 1174155477
Provider Name: CHOICE SUPPORTIVE CARE TEAM INC.
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
Doing Business As: EXPRESS HEALTH SYSTEMS
CLIA Number: 45D2145006
Address: 120 E SOUTH TOWN DR STE 100
TYLER, TX
ZIP 75703
Phone: (903) 925-6705

Map and Directions

Get Directions

NPI Details

CHOICE SUPPORTIVE CARE TEAM INC. is a multi-specialty clinic center in Tyler, TX. CHOICE SUPPORTIVE CARE TEAM INC. NPI is 1174155477. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Express Health Systems.

The provider's business location address is:

120 E SOUTH TOWN DR STE 100
TYLER, TX
ZIP 75703-747
Phone: (903) 925-6705
Fax: (903) 209-2888

The provider's authorized official is Lauren Holley .
The authorized official title is Cao and has the following contact phone number (903) 592-5670.

The CLIA number assigned to this NPI record is 45D2145006 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2020 and was last updated on 11/1/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163W00000X	Registered Nurse		No
2	164W00000X	Licensed Practical Nurse		No
3	207Q00000X	Family Medicine		No
4	207QA0505X	Family Medicine	Adult Medicine	No
5	207RC0200X	Internal Medicine	Critical Care Medicine	No
6	207RG0300X	Internal Medicine	Geriatric Medicine	No
7	225100000X	Physical Therapist		No
8	225X00000X	Occupational Therapist		No
9	235Z00000X	Speech-Language Pathologist		No
10	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00654697	OTHER	TEXAS	RAIL ROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI