MEDICARE: DR. ARTEMIO CERDA CHAPA M.D.

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	K4652	TX

General Provider Information

NPI Number	:	1235176884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTEMIO CERDA CHAPA M.D.

Provider Business Mailing Address
First Line	:	7700 ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-2929
Country	:	US
Telephone Number	:	703-681-7619
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 BROOKLEY AVE SW BLDG 1300
Second Line	:
City	:	BOLLING AFB
State	:	DC
Zip	:	20032-7704
Country	:	US
Telephone Number	:	202-404-1378
Fax Number	:

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	01/03/2023

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