Basic Information
Provider Information
NPI: 1174782247
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TAPIA
FirstName: REBECCA
MiddleName: NONALEE STAGGS
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7400 MERTON MINTER ST # 117
Address2: MAIL CODE 117
City: SAN ANTONIO
State: TX
PostalCode: 782294404
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 7400 MERTON MINTER ST # 117
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294404
CountryCode: US
TelephoneNumber: 2106175300
FaxNumber: 2106175391
Other Information
ProviderEnumerationDate: 06/04/2008
LastUpdateDate: 05/07/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000XP2380TXY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


Home