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General NPI Number Information
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NPI Number | 1043683873
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Entity Type | Organization
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Legal Business Name | HEALTHCARE EXPRESS, LLP
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 4401 CORPORATE DR
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City | TEXARKANA
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State | TX
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Zip | 75503-1088
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Country | US
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Telephone | 903-223-9911
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Fax | 903-223-6380
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Provider Business Mailing Address
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Address Line | 3515 RICHMOND RD
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City | TEXARKANA
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State | TX
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Zip | 75503-0711
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Country | US
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Telephone | 903-791-9355
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Fax | 903-831-0045
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | TIMOTHY L. REYNOLDS
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Credential | MD
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Telephone | 903-791-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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