Healthcare Provider Details

I. General information

NPI: 1669488094
Provider Name (Legal Business Name): EXPRESS COMMUNICATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 FOREST LN STE 1053
DALLAS TX
75234-7513
US

IV. Provider business mailing address

2828 FOREST LN STE 1053
DALLAS TX
75234-7513
US

V. Phone/Fax

Practice location:
  • Phone: 972-333-8122
  • Fax: 972-243-1754
Mailing address:
  • Phone: 972-333-8122
  • Fax: 972-243-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. FON AUGUSTIN TENYA
Title or Position: MANAGER
Credential:
Phone: 972-333-8122