Individual
DR. PHILLIP CHAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
609 MEDICAL CENTER DR, DECATUR, TX 76234-3836
(940) 626-1249
Mailing address
130 COCO PLUM DR APT 401, MARATHON, FL 33050-4028
(940) 704-5309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K9750
TX
207P00000X
Emergency Medicine Physician
ME142967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090010203
—
TX
01
—
8G9184
BLUE CROSS BLUE SHIELD
TX
01
—
930123198
MEDICARE RR PALMETTO
TX
Enumeration date
05/02/2006
Last updated
03/28/2020
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