Healthcare Provider Details
I. General information
NPI: 1881955615
Provider Name (Legal Business Name): MEDICAL EXPRESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2012
Last Update Date: 06/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8800B SHOAL CREEK BLVD
AUSTIN TX
78757-6818
US
IV. Provider business mailing address
8800B SHOAL CREEK BLVD
AUSTIN TX
78757-6818
US
V. Phone/Fax
- Phone: 512-371-1700
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ED
STEVENS
Title or Position: PRESIDENT
Credential:
Phone: 512-371-1700