Provider Demographics
NPI:1952844607
Name:APOLLO PERFORMANCE & SPORTS MEDICINE
Entity Type:Organization
Organization Name:APOLLO PERFORMANCE & SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPORTS MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:APRYL
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT,SCS,LAT,ATC
Authorized Official - Phone:936-554-5812
Mailing Address - Street 1:50 SCHUBACH DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5727
Mailing Address - Country:US
Mailing Address - Phone:214-448-3988
Mailing Address - Fax:
Practice Address - Street 1:50 SCHUBACH DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5727
Practice Address - Country:US
Practice Address - Phone:214-448-3988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1174652937225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty