Choice Supportive Care Team INC.
Clinic/Center, Multi-Specialty in Tyler, TX. Organization (NPI-2).
NPI number1174155477
StatusActive
Last updated in NPPESNov 1, 2022
Details
- NPI
- 1174155477
- Entity type
- Organization (NPI-2)
- Legal business name
- Choice Supportive Care Team INC.
- Organization subpart
- No
- Enumeration date
- Feb 5, 2020
- Certification date
- Nov 1, 2022
- Last updated
- Nov 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 164W00000X | Licensed Practical Nurse | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207QA0505X | Family Medicine, Adult Medicine | – | – | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | – | – | |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Other names
- Choice Supportive Care Team (Doing Business As)
- Express Health Systems (Doing Business As)
Practice location
120 E South Town Dr Ste 100Tyler, TX 75703-4747
Phone 903-925-6705 · Fax 903-209-2888
Mailing address
120 E South Town Dr Ste 100Tyler, TX 75703-4747
Phone 903-592-5670 · Fax 903-209-2888
Authorized official
Lauren Holley
Cao
9035925670
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