| Express Medical Services | |
|
5373 W Alabama St Ste 204 Houston TX 77056-5923 | |
| (281) 612-9990 | |
| (949) 404-6994 |
| Full Name | Express Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 5373 W Alabama St Ste 204, Houston, Texas |
| Authorized Official Name and Position | Modupe Adetutu Allen (NURSE PRACTITIONER) |
| Authorized Official Contact | 2817019729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Medical Services 14007 Sea Myrtle Ln Sugar Land TX 77498-2095 Ph: (281) 701-9729 | Express Medical Services 5373 W Alabama St Ste 204 Houston TX 77056-5923 Ph: (281) 612-9990 |
| NPI Number | 1891412193 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 12/26/2022 |
| Medicare PECOS PAC ID | 9537537584 |
|---|---|
| Medicare Enrollment ID | O20221122001894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891412193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Modupe Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245708544 PECOS PAC ID: 6507277266 Enrollment ID: I20201201002717 |
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