Individual provider · NPI-1

Dr. Stephen Alan Applebaum, O.D.

Optometrist · El Paso, TX

NPI number1184631343
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1184631343
Entity type
Individual (NPI-1)
Name
Dr. Stephen Alan Applebaum
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4769TTXYes

Practice location

865 N Resler Dr
Ste. F
El Paso, TX 79912-1784

Phone 915-833-0633 · Fax 915-833-2285

Mailing address

692 Moondale Dr
El Paso, TX 79912-4236

Phone 915-833-3234 · Fax 915-833-2285

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