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Sibi Chacko
Gerontology Nurse Practitioner in Dallas, Texas
NPI 1134703754

Sibi Chacko is a Gerontology Nurse Practitioner based in Sunnyvale, TX and is specialized in Gerontology. Sibi Chacko practices in Dallas, TX. The NPI Number for Sibi Chacko is 1134703754 and holds a License No. AG03190020 (Texas).

The current practice location address for Sibi Chacko is 10325 Lake June Rd, Dallas, TX and can be reached out via phone at 214-928-9800.

Location: 10325 Lake June Rd, Dallas, TX, 75182-1003
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Provider Profile Details
NPI Number
1134703754
Provider Name
Sibi Chacko
Credential
Provider Entity Type
Individual
Gender
Female
Address
10325 Lake June Rd, Dallas, TX, 75182-1003
Phone Number
214-928-9800
Fax Number
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10325 Lake June Rd
City
State
Zip
75217-5312
Phone Number
214-928-9800
Fax Number
person
Provider Business Mailing Address Details
Address
10325 Lake June Rd
City
State
Zip
75217-5312
Phone Number
214-928-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AG03190020 (Texas)
Definition
Definition to come...
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