Healthcare Provider Details

I. General information

NPI: 1578065264
Provider Name (Legal Business Name): X-PRESS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2018
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 W 21ST ST
CLOVIS NM
88101-4086
US

IV. Provider business mailing address

2021 W 21ST ST
CLOVIS NM
88101-4086
US

V. Phone/Fax

Practice location:
  • Phone: 575-935-7777
  • Fax: 575-935-7778
Mailing address:
  • Phone: 575-935-7777
  • Fax: 575-935-7778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WENDELL MARC OSBORN
Title or Position: OWNER
Credential: C-FNP
Phone: 575-935-7777