Provider Demographics
NPI:1427395342
Name:APEX PHYSICAL REHABILITATION & WELLNESS PLLC
Entity Type:Organization
Organization Name:APEX PHYSICAL REHABILITATION & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-242-5252
Mailing Address - Street 1:4610 SWEETWATER BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3151
Mailing Address - Country:US
Mailing Address - Phone:281-242-5252
Mailing Address - Fax:281-242-5256
Practice Address - Street 1:4610 SWEETWATER BLVD STE 120
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3151
Practice Address - Country:US
Practice Address - Phone:281-242-5252
Practice Address - Fax:281-242-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1491887001Medicaid
TX1491887001Medicaid