MEDICARE: ROBERT A RAPOSO P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA01184	TX

General Provider Information

NPI Number	:	1003035528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A RAPOSO P.A.

Provider Business Mailing Address
First Line	:	18817 N HEATHERWILDE BLVD
Second Line	:	STE 150
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-1750
Country	:	US
Telephone Number	:	512-523-4878
Fax Number	:	512-523-4878

Provider Business Practice Location Address
First Line	:	2235 THOUSAND OAKS DR
Second Line	:	SUITE 117
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3966
Country	:	US
Telephone Number	:	210-490-1000
Fax Number	:	210-490-3806

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/21/2021

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