Provider Demographics
NPI:1952326605
Name:CHAPPELL, TENESHA RICHOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:TENESHA
Middle Name:RICHOLE
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 W UNIVERSITY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7402
Mailing Address - Country:US
Mailing Address - Phone:469-800-5100
Mailing Address - Fax:469-800-5110
Practice Address - Street 1:5220 W UNIVERSITY DR STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7402
Practice Address - Country:US
Practice Address - Phone:469-800-5100
Practice Address - Fax:469-800-5110
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2181207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147641801Medicaid
TX8B4366OtherBCBS
TX8B4366OtherBCBS
H51834Medicare UPIN
TX355994YKTPMedicare PIN
TX8666N9Medicare PIN