Healthcare Provider Details

I. General information

NPI: 1023005147
Provider Name (Legal Business Name): JOEL D. CHAPMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N JEFFERSON AVE SUITE 300
MOUNT PLEASANT TX
75455-2371
US

IV. Provider business mailing address

2001 N JEFFERSON AVE SUITE 300
MOUNT PLEASANT TX
75455-2371
US

V. Phone/Fax

Practice location:
  • Phone: 903-572-9823
  • Fax: 903-572-4812
Mailing address:
  • Phone: 903-572-9823
  • Fax: 903-572-4812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG1629
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: