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1073501151
BIJU K CHACKO
RICHARDSON, TX
NPI
1073501151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA04258)
Enumeration Date
2005-10-12
Last Update Date
2018-11-29
Business Address
Mr. BIJU K CHACKO P.A.-C
800 W CAMPBELL RD
RICHARDSON, TX 75080-3021
Phone number: 972-883-2749
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Mailing Address
Mr. BIJU K CHACKO P.A.-C
1000 LAKE CAROLYN PKWY #2101
IRVING, TX 75039-3932
Phone number: 469-879-4761
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