Homero Javier Chapa, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Corsicana, TX

NPI 1104034594 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104034594
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
D1577 (TX)
Practice address
3422 FM 2859
Corsicana, TX 75109-0797
Phone
(903) 872-2873
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D1577 TX Yes

Addresses

Primary practice location

3422 FM 2859
Corsicana, TX 75109-0797

Mailing address

3422 FM 2859
Corsicana, TX 75109-0797
Phone (903) 872-2873

Other providers in Corsicana, TX

All providers in Corsicana, TX · Diagnostic Radiology Physician in Texas

Sources for this page

Verify at the official NPI Registry.