Provider Demographics
NPI:1063420404
Name:APOSTOL, MELECIO F (MD)
Entity type:Individual
Prefix:DR
First Name:MELECIO
Middle Name:F
Last Name:APOSTOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-7312
Mailing Address - Country:US
Mailing Address - Phone:617-298-6863
Mailing Address - Fax:361-790-8197
Practice Address - Street 1:2106 W MARKET ST
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-7312
Practice Address - Country:US
Practice Address - Phone:361-729-8686
Practice Address - Fax:367-790-8197
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2103208000000X, 208000000X
302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151930815Medicaid
TX151930814Medicaid