Provider Demographics
NPI:1902403769
Name:APOGEE HEALTH PROMOTIONS LLC
Entity Type:Organization
Organization Name:APOGEE HEALTH PROMOTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:D
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:903-693-3400
Mailing Address - Street 1:105 COTTAGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75633-1507
Mailing Address - Country:US
Mailing Address - Phone:936-332-3042
Mailing Address - Fax:
Practice Address - Street 1:105 COTTAGE RD # B
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TX
Practice Address - Zip Code:75633-1507
Practice Address - Country:US
Practice Address - Phone:936-332-3042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APOGEE HEALTH PROMOTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-05
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care