Organization
CHOICE SUPPORTIVE CARE TEAM INC.
Active
Other names
Express Health Systems, Choice Supportive Care Team
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HOLLEY (CAO)
(903) 592-5670
Entity
Organization
Contact information
Practice address
120 E SOUTH TOWN DR STE 100, TYLER, TX 75703-4747
(903) 925-6705
(903) 209-2888
Mailing address
120 E SOUTH TOWN DR STE 100, TYLER, TX 75703-4747
(903) 592-5670
(903) 209-2888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00654697
RAIL ROAD
TX
Enumeration date
02/05/2020
Last updated
11/01/2022
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