Provider Demographics
NPI:1235821372
Name:APEX LIFE LLC
Entity Type:Organization
Organization Name:APEX LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:REAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:210-364-1803
Mailing Address - Street 1:3311 GALESBURG DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5811
Mailing Address - Country:US
Mailing Address - Phone:210-364-1803
Mailing Address - Fax:
Practice Address - Street 1:2101 S I-35
Practice Address - Street 2:STE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741
Practice Address - Country:US
Practice Address - Phone:512-677-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty