MEDICARE: DR. KARLA P APODACA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	27289	TX

General Provider Information

NPI Number	:	1528346608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARLA P APODACA D.D.S.

Provider Business Mailing Address
First Line	:	216 W LITTLE YORK RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-1432
Country	:	US
Telephone Number	:	713-699-0527
Fax Number	:	713-884-8191

Provider Business Practice Location Address
First Line	:	216 W LITTLE YORK RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-1432
Country	:	US
Telephone Number	:	713-699-0527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2011
Last Update Date	:	05/24/2012

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