Basic Information
Provider Information
NPI: 1295324580
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APPELHOF
FirstName: STEVEN
MiddleName: MICHAEL
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2200 WELLINGTON LN
Address2:  
City: CORINTH
State: TX
PostalCode: 762105599
CountryCode: US
TelephoneNumber: 9519568966
FaxNumber:  
Practice Location
Address1: 6225 N STATE HIGHWAY 161 STE 200
Address2:  
City: IRVING
State: TX
PostalCode: 750382241
CountryCode: US
TelephoneNumber: 2146870001
FaxNumber: 9725182100
Other Information
ProviderEnumerationDate: 01/12/2021
LastUpdateDate: 02/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X1029006TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home