Individual
MS. CHANTAL RAYUNZA CULPEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
517 N BRENTWOOD, LUFKIN, TX 75904-7124
(936) 637-5970
(936) 637-5971
Mailing address
517 N. BRENTWOOD DRIVE, LUFKIN, TX 75904
(936) 637-5970
(936) 637-5971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186041301
—
TX
01
—
8U5694
BC/BS TX #
TX
01
—
P00412420
TRAVELER'S MEDICARE #
TX
Enumeration date
02/13/2007
Last updated
06/04/2012
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