Provider Demographics
NPI:1730309212
Name:SOUSA, APRIL (DDS)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:SOUSA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 HIDDEN CV
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-4886
Mailing Address - Country:US
Mailing Address - Phone:303-888-4582
Mailing Address - Fax:
Practice Address - Street 1:203 N LOOP 1604 W STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1086
Practice Address - Country:US
Practice Address - Phone:210-490-8300
Practice Address - Fax:210-490-8301
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21739122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist