MALEXA MEDICAL SERVICES NPI 1225263650

NPI Information

NPI: 1225263650
Provider Name: MALEXA MEDICAL SERVICES

Doing Business As: ROCKPORT REJUVENATIVE CLINIC

Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
1521 W MARKET ST
SUITE D
ROCKPORT, TX
ZIP 78382
Phone: (361) 790-7790
Get Directions

MALEXA MEDICAL SERVICES is a gerontology nurse practitioner in Rockport, TX. MALEXA MEDICAL SERVICES NPI is 1225263650. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rockport Rejuvenative Clinic.

The provider's business location address is:

1521 W MARKET ST
SUITE D
ROCKPORT, TX
ZIP 78382-218
Phone: (361) 790-7790
Fax: (361) 790-7785

The provider's authorized official is Margaret Vonheuvel .
The authorized official title is Owner and has the following contact phone number (361) 790-7790.

The enumeration date for this NPI number is 5/29/2009 and was last updated on 3/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine			TEXAS	No
2	363LG0600X	Nurse Practitioner	Gerontology		TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2085508-01	MEDICAID	TEXAS
2	0A4764	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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