Provider Demographics
NPI:1164814794
Name:DR. MELECIO F APOSTOL M.D.
Entity Type:Organization
Organization Name:DR. MELECIO F APOSTOL M.D.
Other - Org Name:ROCKPORT PEDIATRICS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELECIO
Authorized Official - Middle Name:
Authorized Official - Last Name:APOSTOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-241-6268
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78381-0018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2600 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-3552
Practice Address - Country:US
Practice Address - Phone:361-729-8686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2103208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty