Provider Demographics
NPI:1750475497
Name:CHAPMAN, MICHAEL CRENSHAW (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CRENSHAW
Last Name:CHAPMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4848 NE STALLINGS DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965
Mailing Address - Country:US
Mailing Address - Phone:936-569-2400
Mailing Address - Fax:936-569-8835
Practice Address - Street 1:4848 NE STALLINGS DR
Practice Address - Street 2:SUITE 103
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965
Practice Address - Country:US
Practice Address - Phone:936-569-2400
Practice Address - Fax:936-569-8835
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL3207207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine