1881958197 NPI number — DR. ANGELA G. LAPUS M.D.

Table of content: DR. ANGELA G. LAPUS M.D. (NPI 1881958197)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881958197 NPI number — DR. ANGELA G. LAPUS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAPUS
Provider First Name:
ANGELA
Provider Middle Name:
G.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LAPUS
Provider Other First Name:
ANGELO
Provider Other Middle Name:
G.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1881958197
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 AUGUSTA DRIVE
Provider Second Line Business Mailing Address:
#2706
Provider Business Mailing Address City Name:
VICTORA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-496-4395
Provider Business Mailing Address Fax Number:
361-573-5012

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2701 HOSPITAL DR
Provider Second Line Business Practice Location Address:
C/O PATHOLOGY LABORATORY/REGIONAL PATHOLOGY ASSOCIATES
Provider Business Practice Location Address City Name:
VICTORIA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77901-5748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-582-1137
Provider Business Practice Location Address Fax Number:
361-573-5012
Provider Enumeration Date:
07/02/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  MD444763 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0102X , with the licence number: P3912 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 310298002 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".