Individual
MR. JOHN CHACKO MOONNUMAKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3239 MILL HOUSE RUN, MISSOURI CITY, TX 77459-6514
(713) 791-1414
Mailing address
3239 MILL HOUSE RUN, MISSOURI CITY, TX 77459-6514
(713) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
534183
TX
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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