MEDICARE: APEXPRACTICE

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	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1780530949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEXPRACTICE

Provider Business Mailing Address
First Line	:	1220 RIVER BEND DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4929
Country	:	US
Telephone Number	:	972-357-8463
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 RIVER BEND DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4929
Country	:	US
Telephone Number	:	972-357-8463
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMIN OFFICER
Name	:	KASEY ROBERTSON
Credential	:	CAO
Telephone Number	:	972-357-8463

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “APEXPRACTICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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