Provider Demographics
NPI:1740850742
Name:APEX WOUND CARE & HYPERBARIC MEDICINE PLLC
Entity type:Organization
Organization Name:APEX WOUND CARE & HYPERBARIC MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:903-416-3650
Mailing Address - Street 1:PO BOX 1993
Mailing Address - Street 2:
Mailing Address - City:POTTSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75076-1993
Mailing Address - Country:US
Mailing Address - Phone:903-416-3650
Mailing Address - Fax:
Practice Address - Street 1:2600 N SAM RAYBURN FWY STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-0500
Practice Address - Country:US
Practice Address - Phone:903-416-3650
Practice Address - Fax:903-416-3651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1083808513OtherNPI