Provider Demographics
NPI:1215652813
Name:CHAPA, ALEXA PAOLA
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:PAOLA
Last Name:CHAPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:PAOLA
Other - Last Name:CHAPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ALEXA CHAPA
Mailing Address - Street 1:PO BOX 17411
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-0411
Mailing Address - Country:US
Mailing Address - Phone:210-390-1795
Mailing Address - Fax:855-702-2527
Practice Address - Street 1:327 W SUNSET RD APT 1303
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1703
Practice Address - Country:US
Practice Address - Phone:210-390-1795
Practice Address - Fax:855-702-2527
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123057225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty