Provider Demographics
NPI:1508660622
Name:TARPLIN, CHAKERIS
Entity type:Individual
Prefix:
First Name:CHAKERIS
Middle Name:
Last Name:TARPLIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 LOUIS HENNA BLVD APT 1405
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-7380
Mailing Address - Country:US
Mailing Address - Phone:854-274-9036
Mailing Address - Fax:
Practice Address - Street 1:1000 GATTIS SCHOOL RD STE 130
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2562
Practice Address - Country:US
Practice Address - Phone:512-649-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care