Provider Demographics
NPI:1750435145
Name:APOUVI, APOLLINAIRE KOKOU (MR)
Entity type:Individual
Prefix:
First Name:APOLLINAIRE
Middle Name:KOKOU
Last Name:APOUVI
Suffix:
Gender:M
Credentials:MR
Other - Prefix:
Other - First Name:APOLLINAIRE
Other - Middle Name:
Other - Last Name:APOUVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MR
Mailing Address - Street 1:1847 BABCOCK RD APT 904
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4601
Mailing Address - Country:US
Mailing Address - Phone:210-723-1669
Mailing Address - Fax:
Practice Address - Street 1:1847 BABCOCK RD APT 904
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4601
Practice Address - Country:US
Practice Address - Phone:210-723-1669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies