MEDICARE: A PLUS EXPRESS MEDICAL CENTER

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1386045896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS EXPRESS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2626 S LOOP W STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2648
Country	:	US
Telephone Number	:	832-385-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 S LOOP W STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2648
Country	:	US
Telephone Number	:	832-385-9200
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. CEDRIC DIXON
Credential	:
Telephone Number	:	832-385-9200

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	09/16/2014

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