Individual
DR. ROSEMARY CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
(210) 916-5102
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
(210) 916-5102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J5279
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
J5279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1137176-01
—
TX
Enumeration date
10/12/2006
Last updated
12/09/2020
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