Provider Demographics
NPI:1851377188
Name:APEX HEALTH SERVICES
Entity Type:Organization
Organization Name:APEX HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARREON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-553-4333
Mailing Address - Street 1:1000 GARLAND JOHNSTON DR
Mailing Address - Street 2:#C
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-4097
Mailing Address - Country:US
Mailing Address - Phone:940-553-4333
Mailing Address - Fax:940-553-4566
Practice Address - Street 1:1000 GARLAND JOHNSTON DR
Practice Address - Street 2:#C
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-4097
Practice Address - Country:US
Practice Address - Phone:940-553-4333
Practice Address - Fax:940-553-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH04526085Medicaid
TXH04526085Medicaid