Provider Demographics
NPI:1417447533
Name:TEXCARE EXPRESS
Entity Type:Organization
Organization Name:TEXCARE EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-999-1003
Mailing Address - Street 1:402 W WHEATLAND RD STE 170A
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4629
Mailing Address - Country:US
Mailing Address - Phone:469-999-1003
Mailing Address - Fax:972-283-8127
Practice Address - Street 1:402 W WHEATLAND RD STE 170A
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4629
Practice Address - Country:US
Practice Address - Phone:469-999-1003
Practice Address - Fax:972-283-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)