Organization
XPRESS PROVIDER SERVICE PLLC
Active
Organization
XPRESS PROVIDER SERVICE PLLC
Active
Other names
Xpress Medical Family Practice & Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TERAN CHAVEZ PA-C (MANAGER)
(817) 831-2012
Entity
Organization
Contact information
Practice address
2900 DENTON HWY STE A, HALTOM CITY, TX 76117-3763
(817) 831-2012
Mailing address
2900 DENTON HWY STE A, HALTOM CITY, TX 76117-3763
(817) 831-2012
(817) 831-0134
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308878301
—
TX
Enumeration date
03/25/2019
Last updated
03/25/2019
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