MEDICARE: MR. MATHEW E. CHAPMAN PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA01810	TX

General Provider Information

NPI Number	:	1083660948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATHEW E. CHAPMAN PAC

Provider Business Mailing Address
First Line	:	2600 BROWNING DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-3211
Country	:	US
Telephone Number	:	972-768-3545
Fax Number	:	972-473-3929

Provider Business Practice Location Address
First Line	:	7115 GREENVILLE AVE
Second Line	:	SUITE 210
City	:	DALLAS
State	:	TX
Zip	:	75231-5100
Country	:	US
Telephone Number	:	214-378-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	02/26/2015

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