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NPI Code Detail

MEDICARE: HEALTHCARE EXPRESS, LLP

MEDICARE: HEALTHCARE EXPRESS, LLP
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
1261QU0200XUrgent Care Clinic/Center
2261QX0100XOccupational Medicine Clinic/Center
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1508101270
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE EXPRESS, LLP
Provider Business Mailing Address
First Line : 3515 RICHMOND RD
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-0711
Country : US
Telephone Number : 903-791-9355
Fax Number : 903-831-0045
Provider Business Practice Location Address
First Line : 106 US HIGHWAY 59
Second Line :
City : ATLANTA
State : TX
Zip : 75551-2010
Country : US
Telephone Number : 903-796-9355
Fax Number : 903-796-9360
Authorized Official
Title or Position : MANAGING PARTNER
Name : TIMOTHY L. REYNOLDS
Credential : M.D.
Telephone Number : 903-791-9355
Provider Enumeration Date : 12/06/2012
Last Update Date : 06/26/2019

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