Provider Demographics
NPI:1295036655
Name:VACCINE EXPRESS, LLC
Entity Type:Organization
Organization Name:VACCINE EXPRESS, LLC
Other - Org Name:CLINICA DE VACUNA EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-858-2766
Mailing Address - Street 1:10301 CLUB CREEK DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7129
Mailing Address - Country:US
Mailing Address - Phone:713-271-0420
Mailing Address - Fax:
Practice Address - Street 1:10301 CLUB CREEK DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7129
Practice Address - Country:US
Practice Address - Phone:713-858-2766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center