NPIMap

Organization Active NPI

Healthcare Express, LLP

  • Family Medicine Physician
  • Wake Village, TX
National Provider Identifier
1790920593
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHCARE EXPRESS, LLP
Practice address
4701 W 7TH St
Wake Village, TX 75501-6255
Phone
(903) 831-4065
Fax
(903) 831-4075
NPI assigned
Dec 8, 2008
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Timothy L. Reynolds, M.D.NPI 1558362194
Title
Managing Partner
Phone
(903) 791-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Occupational Medicine Clinic/Center 261QX0100X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4701 W 7TH St
Wake Village, TX 75501-6255

Mailing address

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 831-7270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000494 TX Part B Supplier - Clinic/Group Practice 9739131442 Receives reassigned benefits from 41 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Texarkana, TX; Wake Village, TX; Atlanta, TX; Marshall, TX; Mt Pleasant, TX; Longview, TX

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1093354Healthcare Express4701 W 7TH St, Texarkana, TX 75501Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

23150 Interstate 30 N
Ste 1
Bryant, AR 72022

1021 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 433-0790

1554 Country Club Rd
Sherwood, AR 72120
Phone (501) 500-1012

4526 Northport Blvd
Shreveport, LA 71107
Phone (318) 489-4181

1701 S Midwest Blvd
Oklahoma City, OK 73110

4651 N Harrison St
Shawnee, OK 74804
Phone (405) 214-1500

11445 Compaq Center West Dr
Ste A
Houston, TX 77070

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1790920593",
    "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": "903-831-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W 7TH ST",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755016255",
            "telephone_number": "903-831-4065",
            "fax_number": "903-831-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE EXPRESS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.