Individual
JACOB PULPRAYIL CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 COLONY LAKE ESTATES DR, STAFFORD, TX 77477-4596
(832) 228-5338
Mailing address
506 COLONY LAKE ESTATES DR, STAFFORD, TX 77477-4596
(832) 228-5338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT137796
TX
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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