Doctor Name: | DR. TINU THOMAS CHACKO |
NPI Number: | 1740324599 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 1162450 |
Business Practice Address: | 1300 W Walnut Hill Ln Suite- 240 Irving, TX - 750383000 |
Business Phone Number: | 2144923947 |
Business Fax Number: | 9725063007 |
Mailing Address: | 1208 Cedar Valley Dr, IRVING |
State: | TX |
Postal Code: | 750634415 |
Phone Number: | 2144923947 |
Fax Number: | 9725063007 |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 01/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1162450 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |