Provider Demographics
NPI:1902808660
Name:CHAPMAN, GREGORY ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALAN
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1701 N COLLINS BLVD
Mailing Address - Street 2:SUITE # 327
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3564
Mailing Address - Country:US
Mailing Address - Phone:972-644-2819
Mailing Address - Fax:972-680-2949
Practice Address - Street 1:8160 WALNUT HILL LN
Practice Address - Street 2:SUITE # 224
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4339
Practice Address - Country:US
Practice Address - Phone:214-365-1150
Practice Address - Fax:214-363-2477
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG8045207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE79973Medicare UPIN
TX87T429Medicare ID - Type Unspecified