Provider Demographics
NPI:1881256287
Name:TAPIA, RENE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RENE
Middle Name:
Last Name:TAPIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 POTASIO
Mailing Address - Street 2:
Mailing Address - City:FABENS
Mailing Address - State:TX
Mailing Address - Zip Code:79838
Mailing Address - Country:US
Mailing Address - Phone:915-867-0881
Mailing Address - Fax:915-521-2272
Practice Address - Street 1:101 POTASIO
Practice Address - Street 2:
Practice Address - City:FABENS
Practice Address - State:TX
Practice Address - Zip Code:79838
Practice Address - Country:US
Practice Address - Phone:915-521-2271
Practice Address - Fax:915-521-2272
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist