Provider Demographics
NPI:1699343277
Name:EXPRESSFIVEHEALTHCARE LLC
Entity type:Organization
Organization Name:EXPRESSFIVEHEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-750-9801
Mailing Address - Street 1:8839 CULEBRA RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4825
Mailing Address - Country:US
Mailing Address - Phone:210-750-9801
Mailing Address - Fax:210-750-9802
Practice Address - Street 1:8839 CULEBRA RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4825
Practice Address - Country:US
Practice Address - Phone:210-750-9801
Practice Address - Fax:210-750-9802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy