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Organization

ROYAL CROWN HEALTHCARE PROVIDER INCORPORATED

Active
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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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