Provider Demographics
NPI:1932395738
Name:CHAPA-WILSON, LYDIA MARTHA I (CPNP)
Entity type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:MARTHA
Last Name:CHAPA-WILSON
Suffix:I
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:MARTHA
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPNP
Mailing Address - Street 1:7220 LOUIS PASTEUR DR STE 140
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4534
Mailing Address - Country:US
Mailing Address - Phone:210-900-4172
Mailing Address - Fax:
Practice Address - Street 1:7220 LOUIS PASTEUR DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4537
Practice Address - Country:US
Practice Address - Phone:210-233-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-15
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP114055363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care