Provider Demographics
NPI:1639183932
Name:ROKOSKY, REBECCA VINCENT (FNP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:VINCENT
Last Name:ROKOSKY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8711 VILLAGE DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5418
Mailing Address - Country:US
Mailing Address - Phone:210-946-1400
Mailing Address - Fax:210-946-1010
Practice Address - Street 1:9635 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1512
Practice Address - Country:US
Practice Address - Phone:210-692-1181
Practice Address - Fax:210-641-7577
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP118463363LF0000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q16209Medicare UPIN
TN3928273Medicare ID - Type Unspecified
TN3703214Medicaid