Individual
MRS. GRACE BLOSSOM CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23920 KATY FWY STE 510, KATY, TX 77494-0882
(832) 605-7123
Mailing address
10425 HUFFMEISTER RD STE 280, HOUSTON, TX 77065-3430
(832) 605-7123
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1193364
TX
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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