Provider Demographics
NPI:1164248886
Name:EXPRESS HEALTHCARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:EXPRESS HEALTHCARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:601-899-2199
Mailing Address - Street 1:8632 RUNNING RIVER LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-3380
Mailing Address - Country:US
Mailing Address - Phone:601-899-2199
Mailing Address - Fax:
Practice Address - Street 1:8632 RUNNING RIVER LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-3380
Practice Address - Country:US
Practice Address - Phone:601-899-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPRESS HEALTHCARE SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service