Provider Demographics
NPI:1073830246
Name:CHAPA, RICARDO JESUS (MD)
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:JESUS
Last Name:CHAPA
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:AUSTIN REGIONAL CLINIC
Mailing Address - Street 2:6210 E US HWY 290
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723
Mailing Address - Country:US
Mailing Address - Phone:512-829-9118
Mailing Address - Fax:512-829-9118
Practice Address - Street 1:27600 RANCH ROAD 12 BLDG 1
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5612
Practice Address - Country:US
Practice Address - Phone:512-829-9118
Practice Address - Fax:512-406-7901
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6796208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics