Provider Demographics
NPI:1609953249
Name:APEX MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:APEX MEDICAL SUPPLY, INC.
Other - Org Name:APEX O&P
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RASHAUD
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-880-9575
Mailing Address - Street 1:3920 F.M. 1960 W.
Mailing Address - Street 2:SUITE: 112
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3500
Mailing Address - Country:US
Mailing Address - Phone:281-880-9575
Mailing Address - Fax:281-880-9578
Practice Address - Street 1:3920 F.M. 1960 W
Practice Address - Street 2:SUITE: 112
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3500
Practice Address - Country:US
Practice Address - Phone:281-880-9575
Practice Address - Fax:281-880-9578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101253335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5864170001Medicare NSC