Provider Demographics
NPI:1003035528
Name:RAPOSO, ROBERT A (PA)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:RAPOSO
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:18817 N HEATHERWILDE BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-1750
Mailing Address - Country:US
Mailing Address - Phone:512-523-4878
Mailing Address - Fax:512-523-4878
Practice Address - Street 1:2235 THOUSAND OAKS DR
Practice Address - Street 2:SUITE 117
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3966
Practice Address - Country:US
Practice Address - Phone:210-490-1000
Practice Address - Fax:210-490-3806
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2021-07-21
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Provider Licenses
StateLicense IDTaxonomies
TXPA01184363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS70065Medicare UPIN