Healthcare Provider Details

I. General information

NPI: 1336668243
Provider Name (Legal Business Name): EXPECARE LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6407 S COOPER ST STE 117
ARLINGTON TX
76001-5813
US

IV. Provider business mailing address

6407 S COOPER ST STE 117
ARLINGTON TX
76001-5813
US

V. Phone/Fax

Practice location:
  • Phone: 817-472-7601
  • Fax: 817-472-7213
Mailing address:
  • Phone: 817-472-7601
  • Fax: 817-472-7213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ABDUR REHMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 877-786-2040