Healthcare Provider Details

I. General information

NPI: 1578717682
Provider Name (Legal Business Name): APOGEE MEDICAL GROUP TENNESSEE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2008
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15059 N SCOTTSDALE ROAD SUITE 600
SCOTTSDALE AZ
85254-2685
US

IV. Provider business mailing address

PO BOX 25016
DALLAS TX
75225-1016
US

V. Phone/Fax

Practice location:
  • Phone: 972-269-1907
  • Fax: 602-778-3695
Mailing address:
  • Phone: 214-592-1329
  • Fax: 469-249-1170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENTRY LANGFORD
Title or Position: DIRECTOR, MEDICAL STAFF SERVICES &
Credential:
Phone: 214-592-1329