Provider Demographics
NPI:1386611788
Name:KACPROWICZ, ROBERT F (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:KACPROWICZ
Suffix:
Gender:M
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:PO BOX 47044
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78265-7044
Mailing Address - Country:US
Mailing Address - Phone:210-520-3737
Mailing Address - Fax:210-520-1234
Practice Address - Street 1:10628 CULEBRA RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1320
Practice Address - Country:US
Practice Address - Phone:210-520-3737
Practice Address - Fax:210-520-1234
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4012207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BZ291OtherBCBSTX
TX175223003Medicaid
TX8BG864OtherBCBSTX
TX175223003Medicaid
TX8BZ291OtherBCBSTX
TXP00426834Medicare PIN
TX8J7342Medicare PIN
TX8BG864OtherBCBSTX