Xpress Provider Service Pllc | |
2900 Denton Hwy Ste A Haltom City TX 76117-3763 | |
(817) 831-2012 | |
Not Available |
Full Name | Xpress Provider Service Pllc |
---|---|
Speciality | Clinic/center |
Location | 2900 Denton Hwy Ste A, Haltom City, Texas |
Authorized Official Name and Position | David Teran Chavez (MANAGER) |
Authorized Official Contact | 8178312012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Xpress Provider Service Pllc 2900 Denton Hwy Ste A Haltom City TX 76117-3763 Ph: (817) 831-2012 | Xpress Provider Service Pllc 2900 Denton Hwy Ste A Haltom City TX 76117-3763 Ph: (817) 831-2012 |
NPI Number | 1164982039 |
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Provider Enumeration Date | 03/25/2019 |
Last Update Date | 03/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164982039 | NPI | - | NPPES |
308878301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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