Basic Information
Provider Information
NPI: 1407814783
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EWTON
FirstName: APRIL
MiddleName: ANNE
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4701
Address2:  
City: HOUSTON
State: TX
PostalCode: 772104701
CountryCode: US
TelephoneNumber: 7134413885
FaxNumber: 7134413886
Practice Location
Address1: 6565 FANNIN ST
Address2: MS205
City: HOUSTON
State: TX
PostalCode: 770302703
CountryCode: US
TelephoneNumber: 7133946450
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/03/2006
LastUpdateDate: 12/14/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102XK1190TXY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
207ZP0102XA69051CAN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
207ZP0102XMD2179LORN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
207ZH0000XK1190TXN Allopathic & Osteopathic PhysiciansPathologyHematology
207ZH0000XA69051CAN Allopathic & Osteopathic PhysiciansPathologyHematology
207ZH0000XMD21791ORN Allopathic & Osteopathic PhysiciansPathologyHematology

No ID Information.


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