Organization Name: | APEX PHYSICAL MEDICINE PA |
NPI Number: | 1639511181 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRESTON C ALEXANDER (PRESIDENT) |
Mailing Address: | 2800 Dallas Pkwy Suite 150 Plano |
State: | TX US |
Postal Code: | 750935993 |
Phone Number: | 9723780383 |
Fax Number: | 9724033434 |
NPI Enumeration Date: | 07/25/2013 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |