Provider Demographics
NPI:1881671691
Name:CHAPA, YVETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:
Last Name:CHAPA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 WEST LOOP S STE 650
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2997
Mailing Address - Country:US
Mailing Address - Phone:713-663-7960
Mailing Address - Fax:713-349-8027
Practice Address - Street 1:3655 FREDERICKSBURG RD STE 112
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3859
Practice Address - Country:US
Practice Address - Phone:210-733-9990
Practice Address - Fax:210-733-1878
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18781122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX007884203Medicaid
TXU99293Medicare UPIN
TX8B6254Medicare ID - Type Unspecified