| Organization Name: | THE SANCTUARY BY HEALTHCARE EXPRESS |
| NPI Number: | 1043683873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY L REYNOLDS (MANAGING PARTNER) |
| Mailing Address: | 3502 Richmond Rd Texarkana |
| State: | TX US |
| Postal Code: | 755030705 |
| Phone Number: | 9033348661 |
| Fax Number: | 9033348856 |
| NPI Enumeration Date: | 11/02/2015 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |