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Organization

EXPRESS CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN LYNN HARRIS ACNP (OWNER/ PROVIDER)
(903) 223-5931
Entity
Organization

Contact information

Practice address
5483 SUMMERHILL RD, TEXARKANA, TX 75503-4608
(903) 223-5931
(903) 223-5930
Mailing address
5483 SUMMERHILL RD, TEXARKANA, TX 75503-4608
(903) 223-5931
(903) 223-5930

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0147
TX
363L00000X
Nurse Practitioner
613479
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80153279
RAILROAD MEDICARE
AR
05
NNP01259
TX
Enumeration date
07/13/2016
Last updated
07/13/2016
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