Individual
STEVE SAMUEL CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4300 COTTON GIN RD, FRISCO, TX 75034-4480
(469) 437-5045
Mailing address
1228 MUSCOGEE TRL, CARROLLTON, TX 75010-1164
(214) 529-8931
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2187634
TX
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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