Rockport Rejuvenative Clinic
LBN: Malexa Medical Services
Rockport Rejuvenative Clinic is an health care organization with primary practice located at 1521 W Market St Suite D, Rockport TX 78382-6218. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is the primary health care specialty.
Malexa Medical Services can be contacted via phone (361) 790-7790, or through Vonheuvel, Margaret via phone (361) 790-7790.
Contact Information
Primary practice address
1521 W Market St Suite D
Rockport TX 78382-6218
Phone: (361) 790-7790
Fax: (361) 790-7785
Website:
Authorized official contact:
Name: Vonheuvel, Margaret Gerontological Nurse Practitioner (GNP)
Phone: (361) 790-7790
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Texas | |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | Texas |
Profile Details
| NPI number | 1225263650 |
|---|---|
| LBN Legal business name | Malexa Medical Services |
| DBA Doing business as | Rockport Rejuvenative Clinic |
| Authorized official | Vonheuvel, Margaret Gerontological Nurse Practitioner (GNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 29th, 2009 |
| Last updated | Mar 5th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225263650 | NPPES |
| Texas | MEDICAID | 2085508-01 |
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