Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | L5655 | TX |
NPI | 1053374033 |
---|---|
Provider Name | Carole C Aponte |
First Address | Richardson, TX 75082 |
Second Address | Richardson, TX 75082 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 28/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
162493401 | (05) | TX |
H20479 | (02) |