Provider Demographics
NPI:1023392644
Name:CHAPMAN, JAMES HERBERT (QRP/ATP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HERBERT
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:QRP/ATP
Other - Prefix:MR
Other - First Name:HERB
Other - Middle Name:
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:QRP/ATP
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-0289
Mailing Address - Country:US
Mailing Address - Phone:254-562-3803
Mailing Address - Fax:254-562-2372
Practice Address - Street 1:837-A TEHUACANA HWY
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-2021
Practice Address - Country:US
Practice Address - Phone:254-562-3803
Practice Address - Fax:254-562-2372
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXATP-915247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXATP-915OtherATP - RESNA