Provider Demographics
NPI:1720814296
Name:CHAPMAN-VAUGHN, ORA DENISE (LVN)
Entity type:Individual
Prefix:MRS
First Name:ORA
Middle Name:DENISE
Last Name:CHAPMAN-VAUGHN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:ORA
Other - Middle Name:DENISE
Other - Last Name:HAMBRICK-CHAPMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRT
Mailing Address - Street 1:12717 COUNTY ROAD 1141
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75709-6105
Mailing Address - Country:US
Mailing Address - Phone:903-372-7268
Mailing Address - Fax:
Practice Address - Street 1:12717 COUNTY ROAD 1141
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75709-6105
Practice Address - Country:US
Practice Address - Phone:903-372-7268
Practice Address - Fax:903-561-5053
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX317114164X00000X, 164W00000X
TXRCP00063878227800000X, 2278G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care