Provider Demographics
NPI:1063853729
Name:APOLLO OUTPATIENT SERVICES INC.
Entity Type:Organization
Organization Name:APOLLO OUTPATIENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:S
Authorized Official - Last Name:TURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-831-9125
Mailing Address - Street 1:6201 BONHOMME RD
Mailing Address - Street 2:SUITE # 474S
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4365
Mailing Address - Country:US
Mailing Address - Phone:832-831-9117
Mailing Address - Fax:832-831-9125
Practice Address - Street 1:6201 BONHOMME RD
Practice Address - Street 2:SUITE # 474S
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4365
Practice Address - Country:US
Practice Address - Phone:832-831-9117
Practice Address - Fax:832-831-9125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty