Provider Demographics
NPI: | 1558146449 |
---|---|
Name: | APPLEMD MEDICAL SERVICES LLC |
Entity type: | Organization |
Organization Name: | APPLEMD MEDICAL SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO/PHYSICIAN |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ANNA CECILIA |
Authorized Official - Middle Name: | SANDEJAS |
Authorized Official - Last Name: | TENORIO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 832-899-4964 |
Mailing Address - Street 1: | 4502 RIVERSTONE BLVD STE 801 |
Mailing Address - Street 2: | |
Mailing Address - City: | MISSOURI CITY |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77459-5207 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 346-202-6001 |
Mailing Address - Fax: | 346-202-6010 |
Practice Address - Street 1: | 4502 RIVERSTONE BLVD STE 801 |
Practice Address - Street 2: | |
Practice Address - City: | MISSOURI CITY |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77459-5207 |
Practice Address - Country: | US |
Practice Address - Phone: | 346-202-6001 |
Practice Address - Fax: | 346-202-6010 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-08-29 |
Last Update Date: | 2024-07-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty |