Healthcare Provider Details

I. General information

NPI: 1972711968
Provider Name (Legal Business Name): EXPRESS RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/30/2020
Certification Date: 07/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 BRIARPARK DR SUITE 110
HOUSTON TX
77042-5280
US

IV. Provider business mailing address

3535 BRIARPARK DR SUITE 110
HOUSTON TX
77042-5280
US

V. Phone/Fax

Practice location:
  • Phone: 800-503-7604
  • Fax: 866-300-9797
Mailing address:
  • Phone: 800-503-7604
  • Fax: 866-300-9797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0097131
License Number StateTX

VIII. Authorized Official

Name: MR. JP MONTEVERDE III
Title or Position: CEO
Credential:
Phone: 800-503-7604