Individual
DR. K. JOB CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 N MAIN AVE, STE. 307, SAN ANTONIO, TX 78205-1152
(210) 222-0362
(210) 222-0598
Mailing address
730 NORTH MAIN AVENUE, STE. 307, SAN ANTONIO, TX 78205
(210) 222-0362
(210) 222-0598
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G7791
TX
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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