Provider Demographics
NPI:1245239177
Name:CHAPMAN, ALAN JESSE JR (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JESSE
Last Name:CHAPMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9055 KATY FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1630
Mailing Address - Country:US
Mailing Address - Phone:713-467-1365
Mailing Address - Fax:713-467-6580
Practice Address - Street 1:9055 KATY FWY
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1630
Practice Address - Country:US
Practice Address - Phone:713-467-1365
Practice Address - Fax:713-467-6580
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3830207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097991602Medicaid
TX097991602Medicaid
TX00DK16Medicare ID - Type Unspecified