Healthcare Provider Details

I. General information

NPI: 1932516887
Provider Name (Legal Business Name): HEALTHCARE EXPRESS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2014
Last Update Date: 12/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11819 MAUMELLE BLVD.
NORTH LITTLE ROCK AR
72113
US

IV. Provider business mailing address

3515 RICHMOND RD
TEXARKANA TX
75503-0711
US

V. Phone/Fax

Practice location:
  • Phone: 501-771-9355
  • Fax: 501-771-9360
Mailing address:
  • Phone: 903-831-7270
  • Fax: 903-793-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY L. REYNOLDS
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 903-791-9355