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Individual

DEEPA CHACKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
11914 ASTORIA BLVD STE 590, HOUSTON, TX 77089-6079
(713) 486-1170
(713) 500-0508
Mailing address
11914 ASTORIA BLVD STE 510, HOUSTON, TX 77089-6050
(713) 486-1170
(713) 500-0508

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718742
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1061924
TX

Other

Enumeration date
05/31/2022
Last updated
07/19/2025
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