MEDICARE: APEX WOUND MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1740067727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX WOUND MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	4312 S RETANA AVE
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74011-1397
Country	:	US
Telephone Number	:	918-740-9476
Fax Number	:	800-811-3612

Provider Business Practice Location Address
First Line	:	8211 E REGAL PL
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-7167
Country	:	US
Telephone Number	:	918-740-9476
Fax Number	:	800-811-3612

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DONALD R BROWN JR.
Credential	:
Telephone Number	:	918-740-9476

Provider Enumeration Date	:	09/12/2023
Last Update Date	:	03/26/2026

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