Provider Demographics
NPI:1619441532
Name:CHALOUPKA, CHRISLYN ADELIA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISLYN
Middle Name:ADELIA
Last Name:CHALOUPKA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 891392
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77289-1392
Mailing Address - Country:US
Mailing Address - Phone:832-915-8140
Mailing Address - Fax:
Practice Address - Street 1:10907 MEMORIAL HERMANN DR STE 440
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4114
Practice Address - Country:US
Practice Address - Phone:832-915-8140
Practice Address - Fax:832-201-9181
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140003363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily