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NPI Code Detail

MEDICARE: APPLE GATE HEALTH SERVICES, INC

MEDICARE: APPLE GATE HEALTH SERVICES, INC
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1447774054
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPLE GATE HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 1720 LAKEPOINTE DRIVE
Second Line : SUITE 117
City : LEWISVILLE
State : TX
Zip : 75057-6425
Country : US
Telephone Number : 214-379-3398
Fax Number : 214-853-9018
Provider Business Practice Location Address
First Line : 560 W MAIN ST STE 203
Second Line :
City : LEWISVILLE
State : TX
Zip : 75057-3604
Country : US
Telephone Number : 469-470-4870
Fax Number : 214-222-3911
Authorized Official
Title or Position : VP, TREASURER
Name : BRUCE JARVIE
Credential :
Telephone Number : 214-379-3300
Provider Enumeration Date : 07/26/2017
Last Update Date : 07/29/2024

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Directions to “APPLE GATE HEALTH SERVICES, INC ” Practice Location

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