Healthcare Provider Details

I. General information

NPI: 1811965528
Provider Name (Legal Business Name): DIANA CHAPA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2902 HAINE DR
HARLINGEN TX
78550-8969
US

IV. Provider business mailing address

PO BOX 531968
HARLINGEN TX
78553-1968
US

V. Phone/Fax

Practice location:
  • Phone: 956-296-4000
  • Fax: 956-296-2842
Mailing address:
  • Phone: 833-887-4863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberT3443
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: