Individual
JOANN CHACKO SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2251 FM 646 RD W STE 155, DICKINSON, TX 77539-3256
(281) 614-2445
Mailing address
106 SANDSTONE BEND LN, DICKINSON, TX 77539-4445
(832) 285-7097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12399
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2018
Last updated
01/30/2026
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