person
Mathew Vadakkeveettil Chacko, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Dallas, Texas
NPI 1104538552

Mathew Vadakkeveettil Chacko is a Psychiatric/Mental Health Nurse Practitioner based in Sunnyvale, TX and is specialized in Psychiatric/Mental Health. Mathew Vadakkeveettil Chacko practices in Dallas, TX and has the professional credentials of PMHNP-BC. The NPI Number for Mathew Vadakkeveettil Chacko is 1104538552 and holds a License No. 739088 (Texas).

The current practice location address for Mathew Vadakkeveettil Chacko is 4500 S Lancaster Rd, Dallas, TX and can be reached out via phone at 214-727-1031.

Location: 4500 S Lancaster Rd, Dallas, TX, 75182-1003
person
Provider Profile Details
NPI Number
1104538552
Provider Name
Mathew Vadakkeveettil Chacko
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4500 S Lancaster Rd, Dallas, TX, 75182-1003
Phone Number
214-727-1031
Fax Number
Provider Enumeration Date
12/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 S Lancaster Rd
City
State
Zip
75216-7167
Phone Number
214-727-1031
Fax Number
person
Provider Business Mailing Address Details
Address
4500 S Lancaster Rd
City
State
Zip
75216-7167
Phone Number
214-727-1031
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
1089361 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
739088 (Texas)
Definition
Definition to come...
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