Provider Demographics
NPI:1104359710
Name:APOLLO MEN'S HEALTH
Entity Type:Organization
Organization Name:APOLLO MEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OROBOSA
Authorized Official - Middle Name:EMMANUEL
Authorized Official - Last Name:OGHIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-664-9966
Mailing Address - Street 1:2404 SMITH RANCH RD
Mailing Address - Street 2:UNIT 300
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5233
Mailing Address - Country:US
Mailing Address - Phone:832-664-9966
Mailing Address - Fax:832-664-9929
Practice Address - Street 1:2404 SMITH RANCH RD
Practice Address - Street 2:UNIT 300
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5233
Practice Address - Country:US
Practice Address - Phone:281-827-2707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126802261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care