Provider Demographics
NPI:1285991687
Name:PUPOLS, ANITA ZENTA (MD)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:ZENTA
Last Name:PUPOLS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:C804
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6864
Mailing Address - Country:US
Mailing Address - Phone:972-566-7879
Mailing Address - Fax:972-566-6226
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:C804
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6864
Practice Address - Country:US
Practice Address - Phone:972-566-7879
Practice Address - Fax:972-566-6226
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
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Provider Licenses
StateLicense IDTaxonomies
TXG73112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology