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Individual

MR. JACK A CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
717 GENERATIONS DR STE B, NEW BRAUNFELS, TX 78130-0009
(844) 789-7246
(210) 568-4064
Mailing address
19141 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3367
(210) 268-0129
(210) 568-4064

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H4227
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H4227
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
H4227
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114814002
TX
Enumeration date
10/12/2005
Last updated
06/22/2023
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