Provider Demographics
NPI:1538183744
Name:CHAPLIK, MELISSA HAWKINS (PA-C)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:HAWKINS
Last Name:CHAPLIK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:331 MELROSE DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4405
Mailing Address - Country:US
Mailing Address - Phone:469-828-1903
Mailing Address - Fax:469-374-3851
Practice Address - Street 1:331 MELROSE DR
Practice Address - Street 2:SUITE 220
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4405
Practice Address - Country:US
Practice Address - Phone:469-828-1903
Practice Address - Fax:469-374-3851
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-00511363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC0573PAMedicaid
SC0573PAMedicaid