Stephen W Rex Md Pllc | |
8101 Hinson Farm Rd Suite 415 Alexandria VA 22306-3403 | |
(703) 799-4000 | |
(703) 799-4569 |
Full Name | Stephen W Rex Md Pllc |
---|---|
Speciality | Family Medicine |
Location | 8101 Hinson Farm Rd, Alexandria, Virginia |
Authorized Official Name and Position | Stephen Willard Rex (PRESIDENT) |
Authorized Official Contact | 7037994000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stephen W Rex Md Pllc 8101 Hinson Farm Rd Suite 415 Alexandria VA 22306-3403 Ph: (703) 799-4000 | Stephen W Rex Md Pllc 8101 Hinson Farm Rd Suite 415 Alexandria VA 22306-3403 Ph: (703) 799-4000 |
NPI Number | 1700140241 |
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Provider Enumeration Date | 06/29/2012 |
Last Update Date | 06/29/2012 |
Medicare PECOS PAC ID | 8921254574 |
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Medicare Enrollment ID | O20120814000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700140241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101051876 (Virginia) | Primary |
Provider Name | Stephen W Rex |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861495871 PECOS PAC ID: 5294761086 Enrollment ID: I20110120000141 |
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