Individual
TEESHA CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 MEDICAL PKWY, CEDAR PARK, TX 78613-7763
(832) 917-3464
Mailing address
112 NETERLAND ST, GEORGETOWN, TX 78628-2546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1217922
TX
363LF0000X
Family Nurse Practitioner
Primary
F357694
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
1217922
TX
363LP2300X
Primary Care Nurse Practitioner
F357694
NY
Other
Enumeration date
02/07/2026
Last updated
03/18/2026
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