Provider Demographics
NPI:1689910150
Name:WALTER TIPPIN DDS PAUL APILADO DDS INC.
Entity Type:Organization
Organization Name:WALTER TIPPIN DDS PAUL APILADO DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-855-4200
Mailing Address - Street 1:3021 TRAWOOD DR
Mailing Address - Street 2:SUITE 1-B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4330
Mailing Address - Country:US
Mailing Address - Phone:915-855-4200
Mailing Address - Fax:915-855-4633
Practice Address - Street 1:3021 TRAWOOD DR
Practice Address - Street 2:SUITE 1-B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4330
Practice Address - Country:US
Practice Address - Phone:915-855-4200
Practice Address - Fax:915-855-4633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty