Provider Demographics
NPI:1437335072
Name:APACC INC
Entity Type:Organization
Organization Name:APACC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF ERY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-355-3000
Mailing Address - Street 1:3501 W 45TH AVE
Mailing Address - Street 2:SUITE T
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5679
Mailing Address - Country:US
Mailing Address - Phone:806-355-3000
Mailing Address - Fax:806-418-2305
Practice Address - Street 1:3501 W 45TH AVE
Practice Address - Street 2:SUITE T
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5679
Practice Address - Country:US
Practice Address - Phone:806-355-3000
Practice Address - Fax:806-418-2305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7359111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU70165Medicare UPIN
TX00579HMedicare PIN