MEDICARE: DR. JORGE ADRIAN DE LA CHAPA D.O.

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	207W00000X	Ophthalmology Physician	K9252	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710026596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE ADRIAN DE LA CHAPA D.O.

Provider Business Mailing Address
First Line	:	6002 S STAPLES ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-2902
Country	:	US
Telephone Number	:	361-334-2625
Fax Number	:	361-334-2203

Provider Business Practice Location Address
First Line	:	6002 S STAPLES ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-2902
Country	:	US
Telephone Number	:	361-334-2625
Fax Number	:	361-334-2203

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	12/17/2025

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