MEDICARE: XPRESSCREDENTIALING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1124975057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPRESSCREDENTIALING LLC

Provider Business Mailing Address
First Line	:	1612 TEJAS TRL APT A
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-2979
Country	:	US
Telephone Number	:	409-916-7595
Fax Number	:	409-916-7595

Provider Business Practice Location Address
First Line	:	1612 TEJAS TRL APT A
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-2979
Country	:	US
Telephone Number	:	409-916-7595
Fax Number	:	409-916-7595

Authorized Official
Title or Position	:	PARTNER
Name	:	ASHWANI KUMAR
Credential	:
Telephone Number	:	409-916-7595

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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