Healthcare Provider Details

I. General information

NPI: 1295036655
Provider Name (Legal Business Name): VACCINE EXPRESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 CLUB CREEK DRIVE SUITE C
HOUSTON TX
77036-7129
US

IV. Provider business mailing address

10301 CLUB CREEK DRIVE SUITE C
HOUSTON TX
77036-7129
US

V. Phone/Fax

Practice location:
  • Phone: 713-858-2766
  • Fax:
Mailing address:
  • Phone: 713-271-0420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NADIA RASHID
Title or Position: OWNER
Credential:
Phone: 713-858-2766