Provider Demographics
NPI:1972396836
Name:A&C HEALTHCAREPLLC
Entity type:Organization
Organization Name:A&C HEALTHCAREPLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APPOLONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINEME
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:817-690-3033
Mailing Address - Street 1:211 MATLOCK MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3349
Mailing Address - Country:US
Mailing Address - Phone:817-690-3033
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4298
Practice Address - Country:US
Practice Address - Phone:512-318-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health