Provider Demographics
NPI:1003831280
Name:CHAPMAN, MICHAEL WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WAYNE
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3118 KING TRL
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-3282
Mailing Address - Country:US
Mailing Address - Phone:254-577-8235
Mailing Address - Fax:254-577-8235
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5095
Practice Address - Country:US
Practice Address - Phone:254-287-3454
Practice Address - Fax:254-288-8970
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2015-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG75055207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1003831280OtherNPI