Xpress Provider Service Pllc

NPI #1164982039 in Haltom City, Texas

Provider Information

NPI Number: 1164982039
Entity Type: Organization
Organization Name: Xpress Provider Service Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Mar 25, 2019
Last Updated: Mar 25, 2019

Practice Location

Address: 2900 DENTON HWY STE A
City: Haltom City
State: Texas
ZIP Code: 76117-3763
Phone: (817) 831-2012

Authorized Official

Name: MR. DAVID TERAN CHAVEZ, PA-C
Title: MANAGER
Phone: (817) 831-2012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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