Organization Active NPI

Medical Express Urgent Care, P.a.

  • Urgent Care Clinic/Center
  • Bryan, TX
National Provider Identifier
1669420121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
E 4336 Issued in TX
Legal business name
MEDICAL EXPRESS URGENT CARE, P.A.
Practice address
1920 W Villa Maria Rd
Suite 201
Bryan, TX 77807-4857
Phone
(979) 821-6339
Fax
(979) 775-8910
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Herman Focke III, M.D.
Title
Medical Director
Phone
(979) 821-6339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X E 4336 TX Primary

Addresses

Primary practice location

1920 W Villa Maria Rd
Suite 201
Bryan, TX 77807-4857

Mailing address

1920 W Villa Maria Rd
Suite 201
Bryan, TX 77807-4857
Phone (979) 821-6339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669420121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W VILLA MARIA RD",
            "address_2": "SUITE 201",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778074857",
            "telephone_number": "979-821-6339",
            "fax_number": "979-775-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W VILLA MARIA RD",
            "address_2": "SUITE 201",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778074857",
            "telephone_number": "979-821-6339",
            "fax_number": "979-775-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EXPRESS URGENT CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOCKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "979-821-6339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "E 4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.