Provider Demographics
NPI:1982786661
Name:APOSTOL, EMILIO B (MD)
Entity Type:Individual
Prefix:MR
First Name:EMILIO
Middle Name:B
Last Name:APOSTOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:730 N MAIN AVE
Mailing Address - Street 2:M AND S TOWER SUITE 221
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-1115
Mailing Address - Country:US
Mailing Address - Phone:210-223-8836
Mailing Address - Fax:210-223-1316
Practice Address - Street 1:730 N MAIN AVE
Practice Address - Street 2:M AND S TOWER SUITE 221
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-1115
Practice Address - Country:US
Practice Address - Phone:210-223-8836
Practice Address - Fax:210-223-1316
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE5470207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C12905Medicare UPIN
00BA34Medicare ID - Type Unspecified