Organization
ROYAL CROWN HEALTHCARE PROVIDER INCORPORATED
Active
Other names
A1 Physical Therapy Clinic of Irving at Las Colinas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINU THOMAS CHACKO DPT (PHYSICAL THERAPIST)
(214) 492-3947
Entity
Organization
Contact information
Practice address
1300 W WALNUT HILL LN, SUITE- 240, IRVING, TX 75038-3000
(214) 492-3947
(972) 506-3007
Mailing address
1208 CEDAR VALLEY DR, IRVING, TX 75063-4415
(214) 492-3947
(972) 506-3007
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
NOT AVAILABLE
TX
Other
Enumeration date
08/27/2012
Last updated
01/02/2013
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