Provider Demographics
NPI:1083045363
Name:EXPERT ACCESS SERVICES PLLC
Entity Type:Organization
Organization Name:EXPERT ACCESS SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-467-9108
Mailing Address - Street 1:324 FM 1960 RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1886
Mailing Address - Country:US
Mailing Address - Phone:832-764-9108
Mailing Address - Fax:281-443-7236
Practice Address - Street 1:324 FM 1960 RD
Practice Address - Street 2:SUITE 109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1886
Practice Address - Country:US
Practice Address - Phone:832-764-9108
Practice Address - Fax:281-443-7236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX719090261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy