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NPI Code Detail

MEDICARE: MALEXA MEDICAL SERVICES

MEDICARE: MALEXA MEDICAL SERVICES
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
1207Q00000XFamily Medicine PhysicianTX
2363LG0600XGerontology Nurse PractitionerTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225263650
Entity Type Code : Organization
Provider Name (Legal Business Name) : MALEXA MEDICAL SERVICES
Provider Business Mailing Address
First Line : PO BOX 1389
Second Line :
City : ROCKPORT
State : TX
Zip : 78381-1389
Country : US
Telephone Number : 361-790-7790
Fax Number : 361-790-7785
Provider Business Practice Location Address
First Line : 1521 W MARKET ST
Second Line : SUITE D
City : ROCKPORT
State : TX
Zip : 78382-6218
Country : US
Telephone Number : 361-790-7790
Fax Number : 361-790-7785
Authorized Official
Title or Position : OWNER
Name : MS. MARGARET VONHEUVEL
Credential : GNP
Telephone Number : 361-790-7790
Provider Enumeration Date : 05/29/2009
Last Update Date : 03/05/2012

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Directions to “MALEXA MEDICAL SERVICES ” Practice Location

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