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NPI Code Detail

MEDICARE: APEX MEDICAL SPECIALISTS PLLC

MEDICARE: APEX MEDICAL SPECIALISTS PLLC
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
1207L00000XAnesthesiology Physician
2207Q00000XFamily Medicine Physician
3207RC0000XCardiovascular Disease Physician
4208600000XSurgery Physician
5213E00000XPodiatrist
6213ES0103XFoot & Ankle Surgery Podiatrist
72085R0204XVascular & Interventional Radiology Physician

General Provider Information

NPI Number : 1609289081
Entity Type Code : Organization
Provider Name (Legal Business Name) : APEX MEDICAL SPECIALISTS PLLC
Provider Business Mailing Address
First Line : PO BOX 208378
Second Line :
City : DALLAS
State : TX
Zip : 75320-8378
Country : US
Telephone Number : 480-374-7354
Fax Number :
Provider Business Practice Location Address
First Line : 838 W ELLIOT RD # 101
Second Line :
City : GILBERT
State : AZ
Zip : 85233-5162
Country : US
Telephone Number : 480-374-7354
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOEL R RAINWATER
Credential : M.D.
Telephone Number : 602-513-8760
Provider Enumeration Date : 06/03/2014
Last Update Date : 06/15/2023

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Directions to “APEX MEDICAL SPECIALISTS PLLC ” Practice Location

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