Xpress Provider Service Pllc

LBN: Xpress Provider Service Pllc
Xpress Provider Service Pllc is an health care organization with primary practice located at 2900 Denton Hwy Ste A , Haltom City TX 76117-3763. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Xpress Provider Service Pllc can be contacted via phone (817) 831-2012, or through Teran Chavez, David via phone (817) 831-2012.

Contact Information

Primary practice address
2900 Denton Hwy Ste A Haltom City TX 76117-3763
Phone: (817) 831-2012
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Teran Chavez, David Physician's Assistant Certified (PA-C)
Phone: (817) 831-2012

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1164982039
LBN Legal business name Xpress Provider Service Pllc
DBA Doing business as
Authorized official Teran Chavez, David Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2019
Last updated Mar 25th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164982039 NPPES
Texas MEDICAID 308878301

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