Active NPI
Express Medical Services
- Primary Care Clinic/Center
- Houston, TX
National Provider Identifier
1891412193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- EXPRESS MEDICAL SERVICES
- Practice address
- 5373 W Alabama St Ste 204
Houston, TX 77056-5923 - Phone
- (281) 612-9990
- Fax
- (949) 404-6994
- NPI assigned
- Oct 26, 2022
- Organization subpart
- Yes
- Parent organization
- EXPRESS MEDICAL SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Modupe Adetutu Allen
- Title
- Nurse Practitioner
- Phone
- (281) 701-9729
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
5373 W Alabama St Ste 204
Houston, TX 77056-5923
Mailing address
14007 Sea Myrtle LN
Sugar Land, TX 77498-2095
Phone (281) 701-9729
Other names 1
- Express Medical services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Express Medical Services
Locations
5375 W Alabama St Ste 204
Houston, TX 77056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Sugar Land, TX
- NPI 1245708544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672012800000",
"number": "1891412193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14007 SEA MYRTLE LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774982095",
"telephone_number": "281-701-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5373 W ALABAMA ST STE 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770565923",
"telephone_number": "281-612-9990",
"fax_number": "949-404-6994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS MEDICAL SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EXPRESS MEDICAL SERVICES",
"enumeration_date": "2022-10-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MODUPE",
"authorized_official_middle_name": "ADETUTU",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "281-701-9729"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Express Medical services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Express Medical services",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.