| Apex Diagnostics- Wt Llc | |
|
600 S Tyler St Ste 110 Amarillo TX 79101-2353 | |
| (806) 877-2001 | |
| Not Available |
| Full Name | Apex Diagnostics- Wt Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 S Tyler St Ste 110, Amarillo, Texas |
| Authorized Official Name and Position | Brian Seymore (OWNER) |
| Authorized Official Contact | 4108080248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apex Diagnostics- Wt Llc 1728 Shakespeare Dr Bel Air MD 21015-1558 Ph: (410) 808-0248 | Apex Diagnostics- Wt Llc 600 S Tyler St Ste 110 Amarillo TX 79101-2353 Ph: (806) 877-2001 |
| NPI Number | 1154020766 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3476918384 |
|---|---|
| Medicare Enrollment ID | O20230428000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154020766 | NPI | - | NPPES |
| 193400000X | Other | MULTIPLE SINGLE SPECIALTY GROUP | |
| 225100000X | Other | PHYSICAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Diego F Tovar Quiroga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790099380 PECOS PAC ID: 6103040647 Enrollment ID: I20161020001674 |
| Provider Name | Kelly Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417341124 PECOS PAC ID: 5698163400 Enrollment ID: I20211028000240 |
| Provider Name | Rotem Laszlo Abraham Elgavish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437366473 PECOS PAC ID: 9830260074 Enrollment ID: I20230504000657 |
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