Provider Demographics
NPI:1144420001
Name:APOLLO HEALTHCARE, P.A.
Entity Type:Organization
Organization Name:APOLLO HEALTHCARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SNEHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-517-8401
Mailing Address - Street 1:1128 WATERFORD WAY
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5623
Mailing Address - Country:US
Mailing Address - Phone:214-517-8401
Mailing Address - Fax:
Practice Address - Street 1:431 STACY RD
Practice Address - Street 2:SUITE 107
Practice Address - City:FAIRVIEW
Practice Address - State:TX
Practice Address - Zip Code:75069-8717
Practice Address - Country:US
Practice Address - Phone:214-547-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3040261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
00Y258Medicare PIN
TXI48216Medicare UPIN