Individual
ANITA CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP-C
Contact information
Practice address
7441 MARVIN D LOVE FWY, SUITE 300, DALLAS, TX 75237-3490
(972) 572-1998
(972) 572-4842
Mailing address
9696 SKILLMAN ST, SUITE 285 LB 42, DALLAS, TX 75243-8264
(214) 348-7611
(214) 348-0129
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
699985
TX
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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