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Individual
DR. JOEL CHACKO
Active
Individual
DR. JOEL CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T1661
TX
2086S0127X
Trauma Surgery Physician
Primary
T1661
TX
Other
Enumeration date
04/17/2016
Last updated
07/09/2025
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