Provider Demographics
NPI:1962488502
Name:CHAPMAN, GREGORY S (MD)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:S
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12951 SOUTH FREEWAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-1923
Mailing Address - Country:US
Mailing Address - Phone:713-526-5771
Mailing Address - Fax:713-526-2036
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-797-9191
Practice Address - Fax:713-394-2852
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE62772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00404305OtherMEDICARE RAILROAD
TX0399016-01Medicaid
TX820101Medicare ID - Type Unspecified
TXE04487Medicare UPIN
TX8J1105Medicare PIN