Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 640697 | TX |
NPI | 1053662478 |
---|---|
Provider Name | Mrs. Mary Ann Apopot |
First Address | San Antonio, TX 78207-3154 |
Second Address | San Antonio, TX 78207-3154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2012 |
Last Update Date | 25/09/2012 |