Provider Demographics
NPI:1861543399
Name:CHAPA, SUKI S (DC)
Entity type:Individual
Prefix:DR
First Name:SUKI
Middle Name:S
Last Name:CHAPA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 W HILDEBRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2124
Mailing Address - Country:US
Mailing Address - Phone:210-785-8211
Mailing Address - Fax:210-785-8211
Practice Address - Street 1:732 W HILDEBRAND AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-2124
Practice Address - Country:US
Practice Address - Phone:210-785-8211
Practice Address - Fax:210-785-8201
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10025111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608149OtherBCBS
TX611772Medicare ID - Type Unspecified