Organization
MALEXA MEDICAL SERVICES
Active
Other names
Rockport Rejuvenative Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET VONHEUVEL GNP (OWNER)
(361) 790-7790
Entity
Organization
Contact information
Practice address
1521 W MARKET ST, SUITE D, ROCKPORT, TX 78382-6218
(361) 790-7790
(361) 790-7785
Mailing address
PO BOX 1389, ROCKPORT, TX 78381-1389
(361) 790-7790
(361) 790-7785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085508-01
—
TX
Enumeration date
05/29/2009
Last updated
03/05/2012
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