Healthcare Provider Details

I. General information

NPI: 1760652218
Provider Name (Legal Business Name): APOGEE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2008
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CIVIC CENTER LN
LAKE HAVASU CITY AZ
86403-5607
US

IV. Provider business mailing address

PO BOX 25016
DALLAS TX
75225-1016
US

V. Phone/Fax

Practice location:
  • Phone: 928-855-8185
  • Fax: 928-302-5906
Mailing address:
  • Phone: 214-592-1329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENTRY LANGFORD
Title or Position: DIRECTOR
Credential:
Phone: 214-592-1329