Healthcare Provider Details

I. General information

NPI: 1295964583
Provider Name (Legal Business Name): ERIC CHAPMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 06/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 LAUREL STREET
BEAUMONT TX
77707
US

IV. Provider business mailing address

3650 LAUREL STREET
BEAUMONT TX
77707
US

V. Phone/Fax

Practice location:
  • Phone: 409-838-0346
  • Fax: 409-839-3720
Mailing address:
  • Phone: 409-838-0346
  • Fax: 409-839-3720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberR71664
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberQ3494
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: