Provider Demographics
NPI:1447574082
Name:APN SERVICES INC
Entity Type:Organization
Organization Name:APN SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCKINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP
Authorized Official - Phone:817-731-6121
Mailing Address - Street 1:PO BOX 1946
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-0018
Mailing Address - Country:US
Mailing Address - Phone:817-731-6121
Mailing Address - Fax:
Practice Address - Street 1:7602 ROCHESTER LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-4170
Practice Address - Country:US
Practice Address - Phone:817-731-6121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0004TJOtherBCBS
TX212782101Medicaid
TX212782101Medicaid