Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 10345 | TX |
NPI | 1013227636 |
---|---|
Provider Name | Dr. Aaron Andress Chapa |
First Address | Kemah, TX 77565-2186 |
Second Address | Kemah, TX 77565-2186 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2010 |
Last Update Date | 16/10/2010 |