Organization Active NPI

Xpress Care

  • Family Medicine Physician
  • Beaumont, TX
National Provider Identifier
1174668123
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2888 Issued in TX
Legal business name
XPRESS CARE
Practice address
4471 Calder Ave
Beaumont, TX 77706-6425
Phone
(409) 866-0856
Fax
(409) 866-0136
NPI assigned
Feb 20, 2007
Last updated
Sep 25, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BEAUMONT XPRESS CARE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Herrington
Title
Vice President
Phone
(409) 866-0856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K2888 TX Primary

Addresses

Primary practice location

4471 Calder Ave
Beaumont, TX 77706-6425

Mailing address

4471 Calder Ave
Beaumont, TX 77706-6425
Phone (409) 866-0856

National Provider Directory

National Provider Directory
Part of
Multispecialty Group of Texas PA

Locations

4471 Calder Ave
Beaumont, TX 77706
Phone (409) 866-0856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1174668123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 CALDER AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066425",
            "telephone_number": "409-866-0856",
            "fax_number": "409-866-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 CALDER AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066425",
            "telephone_number": "409-866-0856",
            "fax_number": "409-866-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESS CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAUMONT XPRESS CARE, PA",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "HERRINGTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "409-866-0856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.