MEDICARE: DR. CHRISTOPHER C CHAPMAN MD

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	207Q00000X	Family Medicine Physician	L9131	TX

General Provider Information

NPI Number	:	1164426888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER C CHAPMAN MD

Provider Business Mailing Address
First Line	:	690 S LOOP 336 W
Second Line	:	STE 222
City	:	CONROE
State	:	TX
Zip	:	77304-3319
Country	:	US
Telephone Number	:	936-756-6661
Fax Number	:	936-756-6681

Provider Business Practice Location Address
First Line	:	690 S LOOP 336 W
Second Line	:	STE 222
City	:	CONROE
State	:	TX
Zip	:	77304-3319
Country	:	US
Telephone Number	:	936-756-6661
Fax Number	:	936-756-6681

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/30/2013

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