Provider Demographics
NPI:1356433759
Name:RX EDGE PROFESSIONALS INC
Entity type:Organization
Organization Name:RX EDGE PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-218-1988
Mailing Address - Street 1:3574 ROCKING J RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665
Mailing Address - Country:US
Mailing Address - Phone:512-218-1988
Mailing Address - Fax:512-697-0077
Practice Address - Street 1:3574 ROCKING J RD
Practice Address - Street 2:SUITE C
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665
Practice Address - Country:US
Practice Address - Phone:512-218-1988
Practice Address - Fax:512-697-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1776684-02Medicaid
TX1776684-01Medicaid
TX4849750001Medicare NSC