Provider Demographics
NPI:1861495871
Name:REX, STEPHEN W (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:W
Last Name:REX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8101 HINSON FARM RD
Mailing Address - Street 2:STE 415
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3410
Mailing Address - Country:US
Mailing Address - Phone:703-799-9695
Mailing Address - Fax:703-310-4314
Practice Address - Street 1:8101 HINSON FARM RD
Practice Address - Street 2:STE 415
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3410
Practice Address - Country:US
Practice Address - Phone:703-799-9695
Practice Address - Fax:703-310-4314
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2015-10-12
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Provider Licenses
StateLicense IDTaxonomies
VA0101051876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA289060OtherMDIPA OP CHOICE MAMSI
VA81660002OtherCAREFIRST BCBS
CJ2302OtherMEDICARE RAILROAD
VA080174443OtherRAILROAD MEDICARE
VA286376OtherANTHEM BCBS
VA505645OtherNCPPO
CJ2302OtherMEDICARE RAILROAD
VA080174443OtherRAILROAD MEDICARE