MEDICARE: DR. PHYLLISS M. CHAPPELL 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	2085N0700X	Neuroradiology Physician	J6088	TX
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	J6088	TX

General Provider Information

NPI Number	:	1689674699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHYLLISS M. CHAPPELL M.D.

Provider Business Mailing Address
First Line	:	6550 FANNIN ST STE 971
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2738
Country	:	US
Telephone Number	:	713-791-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST STE 971
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2738
Country	:	US
Telephone Number	:	713-724-7965
Fax Number	:

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

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	06/05/2023

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