Provider Demographics
NPI:1144424557
Name:APONTE, DORIAN YELENA (MD)
Entity Type:Individual
Prefix:
First Name:DORIAN
Middle Name:YELENA
Last Name:APONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N CORINTH ST STE 109
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76208-5444
Mailing Address - Country:US
Mailing Address - Phone:940-448-0304
Mailing Address - Fax:972-364-1189
Practice Address - Street 1:1400 N CORINTH ST STE 109
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76208-5444
Practice Address - Country:US
Practice Address - Phone:940-448-0304
Practice Address - Fax:972-364-1189
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM85012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM8501OtherTEXAS MEDICAL BOARD LICENSE
BP1-0022489OtherINSTITUTIONAL PERMIT