SUSAN CHACKO

DALLAS, TX
NPI1710573159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TX  AP140734)
Enumeration Date2020-12-20
Last Update Date2020-12-20
Business Address
SUSAN CHACKO APRN
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 516-941-7930
Mailing Address
SUSAN CHACKO APRN
1024 BLUE HERON DR
FORNEY, TX 75126-8311
Phone number: 516-941-7930
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