Provider Demographics
NPI:1366466914
Name:CHAUPIN, DAMIAN VICTORIO (MD)
Entity type:Individual
Prefix:
First Name:DAMIAN
Middle Name:VICTORIO
Last Name:CHAUPIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PEAKWOOD DRIVE
Mailing Address - Street 2:SUITE 5G
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090
Mailing Address - Country:US
Mailing Address - Phone:281-537-5806
Mailing Address - Fax:281-537-0711
Practice Address - Street 1:800 PEAKWOOD DRIVE
Practice Address - Street 2:SUITE 5G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090
Practice Address - Country:US
Practice Address - Phone:281-537-5806
Practice Address - Fax:281-537-0711
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF47882086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035207201Medicaid
TX00NN83OtherBCBS
TXP000NN83Medicare ID - Type Unspecified
TX00NN83OtherBCBS