MEDICARE: DR. PETROS KOSMAS CHAPANOS 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	J9640	TX

General Provider Information

NPI Number	:	1487643524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETROS KOSMAS CHAPANOS M.D.

Provider Business Mailing Address
First Line	:	1000 FM 300
Second Line	:
City	:	LEVELLAND
State	:	TX
Zip	:	79336-6235
Country	:	US
Telephone Number	:	806-894-7842
Fax Number	:	806-894-3378

Provider Business Practice Location Address
First Line	:	1000 FM 300
Second Line	:
City	:	LEVELLAND
State	:	TX
Zip	:	79336-6235
Country	:	US
Telephone Number	:	806-894-7842
Fax Number	:	806-894-3378

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

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	01/27/2025

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Directions to “ DR. PETROS KOSMAS CHAPANOS M.D.” Practice Location

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