Active NPI
Xpress Care
- Family Medicine Physician
- Beaumont, TX
National Provider Identifier
1174668123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K2888
- 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, 2009
- Organization subpart
- Yes
- Parent organization
- BEAUMONT XPRESS CARE, PA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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.
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1972873081
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.