Provider Demographics
NPI:1073514097
Name:LAPRAY, CHAD DELMER (RN MSN APRN BC)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:DELMER
Last Name:LAPRAY
Suffix:
Gender:M
Credentials:RN MSN APRN BC
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Mailing Address - Street 1:PO BOX 202024
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-2024
Mailing Address - Country:US
Mailing Address - Phone:409-924-6995
Mailing Address - Fax:409-899-7494
Practice Address - Street 1:755 NORTH 11TH
Practice Address - Street 2:SUITED1001
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1513
Practice Address - Country:US
Practice Address - Phone:409-899-8304
Practice Address - Fax:409-899-7494
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX630137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L1145Medicare PIN
Q31016Medicare UPIN