Healthcare Provider Details

I. General information

NPI: 1366838591
Provider Name (Legal Business Name): EXPRESS CARE OF HOBBS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 04/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 N LOVINGTON HWY SUITE 550
HOBBS NM
88240-1160
US

IV. Provider business mailing address

3900 N LOVINGTON HWY SUITE 550
HOBBS NM
88240-1160
US

V. Phone/Fax

Practice location:
  • Phone: 432-758-6015
  • Fax: 432-758-6016
Mailing address:
  • Phone: 432-758-6015
  • Fax: 432-758-6016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberJ6105
License Number StateTX

VIII. Authorized Official

Name: MS. ERICKA L BENSON
Title or Position: MEMBER-OWNER
Credential: RN BSN MBA
Phone: 432-758-6015