Healthcare Provider Details

I. General information

NPI: 1144536590
Provider Name (Legal Business Name): MISS VERA DIONNE CHAPPELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10375 RICHMOND AVE STE 1575
HOUSTON TX
77042-4468
US

IV. Provider business mailing address

11950 FM 1960 RD W APT 615
HOUSTON TX
77065-3691
US

V. Phone/Fax

Practice location:
  • Phone: 713-541-1177
  • Fax: 713-953-1925
Mailing address:
  • Phone: 281-645-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number153237
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: