Active NPI
Healthcare Express, LLP
- Dermatology Physician
- Texarkana, TX
National Provider Identifier
1043683873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- HEALTHCARE EXPRESS, LLP
- Practice address
- 4401 Corporate Dr
Texarkana, TX 75503-1088 - Phone
- (903) 223-9911
- Fax
- (903) 223-6380
- NPI assigned
- Nov 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy L. Reynolds, MD
- Title
- Managing Partner
- Phone
- (903) 791-9355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
4401 Corporate Dr
Texarkana, TX 75503-1088
Mailing address
3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355
Other names 1
- HealthCARE Express Age Management & Aesthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Texarkana, TX
- NPI 1265842496
O20050210000494
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Texarkana, TX
- NPI 1669868691
-
- Gerontology Nurse Practitioner
- Texarkana, TX
- NPI 1871041715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1043683873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 RICHMOND RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030711",
"telephone_number": "903-791-9355",
"fax_number": "903-831-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CORPORATE DR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031088",
"telephone_number": "903-223-9911",
"fax_number": "903-223-6380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE EXPRESS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-02",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "903-791-9355",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthCARE Express Age Management & Aesthetics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.