Provider Demographics
NPI:1144536590
Name:CHAPPELL, VERA DIONNE
Entity type:Individual
Prefix:MISS
First Name:VERA
Middle Name:DIONNE
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11950 FM 1960 RD W APT 615
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3691
Mailing Address - Country:US
Mailing Address - Phone:281-645-6440
Mailing Address - Fax:
Practice Address - Street 1:10375 RICHMOND AVE STE 1575
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4468
Practice Address - Country:US
Practice Address - Phone:713-541-1177
Practice Address - Fax:713-953-1925
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX153237183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician