Provider Demographics
NPI:1366541286
Name:HEALTHXPRESS LLC
Entity type:Organization
Organization Name:HEALTHXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUNSTALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-983-9933
Mailing Address - Street 1:13110 MULA CT
Mailing Address - Street 2:SUITE C
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3322
Mailing Address - Country:US
Mailing Address - Phone:281-983-9933
Mailing Address - Fax:281-983-9937
Practice Address - Street 1:13110 MULA CT
Practice Address - Street 2:SUITE C
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3322
Practice Address - Country:US
Practice Address - Phone:281-983-9933
Practice Address - Fax:281-983-9937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0091639332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188228401Medicaid
TX188228402Medicaid
TX532478OtherBLUE CROSS BLUE SHIELD
TX188228401Medicaid