Individual
CANDACE JOY CHAPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4242 MEDICAL DR, SUITE 6250, SAN ANTONIO, TX 78229
(210) 479-3297
(210) 479-3295
Mailing address
4242 MEDICAL DR, SUITE 6250, SAN ANTONIO, TX 78229
(210) 479-3297
(210) 479-3295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
591028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163321601
—
TX
01
—
8K3179
MEDICARE
TX
01
—
8Y4036
BCBS PVN
TX
01
—
E0131003
DPS
TX
Enumeration date
08/31/2006
Last updated
07/21/2022
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