Healthcare Provider Details

I. General information

NPI: 1821682584
Provider Name (Legal Business Name): CAYLA FAPPIANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON TX
78234
US

IV. Provider business mailing address

3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON TX
78234
US

V. Phone/Fax

Practice location:
  • Phone: 210-916-4789
  • Fax: 210-916-6654
Mailing address:
  • Phone: 210-916-4789
  • Fax: 210-916-6654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberU0113
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: