Basic Information
Provider Information
NPI: 1699985002
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APONTE
FirstName: EMMALIND
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 911230
Address2:  
City: DALLAS
State: TX
PostalCode: 753911230
CountryCode: US
TelephoneNumber: 9729978000
FaxNumber: 9722342987
Practice Location
Address1: 5206 RESEARCH DR
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782405251
CountryCode: US
TelephoneNumber: 2105955300
FaxNumber: 2106148740
Other Information
ProviderEnumerationDate: 05/23/2007
LastUpdateDate: 02/26/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X14825PRY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

ID Information
IDTypeStateIssuerDescription
P161701TXTEXAS MEDICAL BOARDOTHER
1482501PRMEDICAL LICENSEOTHER
P0162690901TXRAILROAD MEDICAREOTHER
29731820305TX MEDICAID


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