Apollo Neurotrauma Therapeutics LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

APOLLO NEUROTRAUMA THERAPEUTICS LLC

Practice address

4319 James Casey St Ste 100
Austin, TX 78745-1189

Phone

(713) 435-9663

NPI assigned

Jul 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dimple Kaur

Title

Manager

Phone

(713) 435-9663

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1821724527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41826",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 JAMES CASEY ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451189",
            "telephone_number": "713-435-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO NEUROTRAUMA THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "DIMPLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-435-9663"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.