Sublime Medical Group PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

846104 Issued in TX

Legal business name

SUBLIME MEDICAL GROUP PLLC

Doing business as

Apex Integrative Health

Practice address

805 Washington Dr Ste F
Arlington, TX 76011-2528

Phone

(817) 459-0220

Fax

(817) 704-0108

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Doe, M.D.NPI 1770761009

Title

Owner

Phone

(315) 323-0236

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Apex Integrative Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Wen Doe, MD

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1770761009
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1841608114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 WASHINGTON DR STE F",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112528",
            "telephone_number": "817-459-0220",
            "fax_number": "817-704-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WASHINGTON DR STE F",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112528",
            "telephone_number": "817-459-0220",
            "fax_number": "817-704-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "DOE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-323-0236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "846104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "846104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen D Su, MD
• Tony H Su, MD
• Subei Medical PLLC (Urgentology Care)
• Iyad Subei, MD
• Sharetta Kay Sublett, PROVIDER
• Theodore Sugihara, M.D.
• Yousef Nabil Suleiman, M.D.
• Patrick T Sullivan, DO
• Sumer Nemt LLC
• Sumexus LLC

• Family Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.