Healthcare Provider Details
I. General information
NPI: 1871439752
Provider Name (Legal Business Name): APEXCARE MEDICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5900 BALCONES DR # 31127
AUSTIN TX
78731-4257
US
IV. Provider business mailing address
5900 BALCONES DR # 31127
AUSTIN TX
78731-4257
US
V. Phone/Fax
- Phone: 737-415-9558
- Fax: 737-415-9558
- Phone: 737-415-9558
- Fax: 737-415-9558
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BD1200X |
| Taxonomy | Dialysis Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ETHAN
CLARKE
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 737-415-9558