Provider Demographics
NPI:1093474850
Name:APEC MEDICAL MANAGEMENT LLC
Entity Type:Organization
Organization Name:APEC MEDICAL MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HUDAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-666-0112
Mailing Address - Street 1:PO BOX 1490
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-1490
Mailing Address - Country:US
Mailing Address - Phone:800-224-5256
Mailing Address - Fax:972-619-3894
Practice Address - Street 1:15110 DALLAS PKWY STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-4609
Practice Address - Country:US
Practice Address - Phone:800-224-5256
Practice Address - Fax:972-619-3894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management