Active NPI
Medical Express Urgent Care, P.a.
- Urgent Care Clinic/Center
- Bryan, TX
National Provider Identifier
1669420121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- E 4336
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.