Provider Demographics
NPI:1063614436
Name:TAPIA, ALEFIA A (MD)
Entity type:Individual
Prefix:DR
First Name:ALEFIA
Middle Name:A
Last Name:TAPIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 FARM ROAD 195
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-2806
Mailing Address - Country:US
Mailing Address - Phone:903-739-7920
Mailing Address - Fax:903-739-7925
Practice Address - Street 1:1800 FARM ROAD 195
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-2806
Practice Address - Country:US
Practice Address - Phone:903-739-7920
Practice Address - Fax:903-739-7925
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244396207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02880308Medicaid
NY02880308Medicaid
NYRB6278Medicare PIN