| NPI | 1154589612 |
|---|---|
| Other Name | MONA CHACKO |
| Entity Type | Organization |
| Authorized Contact | MONA CHACKO Owner 972-712-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L5271) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |