Kevin K Chacko, MD | |
4649 Seabiscuit St, Carrollton, TX 75010-4206 | |
(214) 938-6605 | |
Not Available |
Full Name | Kevin K Chacko |
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Gender | Male |
Speciality | Pediatrics |
Location | 4649 Seabiscuit St, Carrollton, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245720259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | BP10064499 (Texas) | Secondary |
208000000X | Pediatrics | T2840 (Texas) | Primary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
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Kevin K Chacko, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Kevin K Chacko, MD 4649 Seabiscuit St, Carrollton, TX 75010-4206 Ph: (214) 938-6605 |
Dr. Thomas E. Grubb, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4443 N Josey Ln Ste 160, Carrollton, TX 75010 Phone: 972-492-4242 Fax: 972-394-1282 | |
Jyoti Sridhar Murthy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3044 Old Denton Road, Suite 138, Carrollton, TX 75007 Phone: 972-245-0007 Fax: 972-245-9272 | |
Mrs. April Walden Connelly, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4300 Josey Lane, Suite#110, Carrollton, TX 75010 Phone: 214-483-3292 | |
Carla Garcia Carreno, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4014 Crestwood Dr, Carrollton, TX 75007 Phone: 214-340-3513 Fax: 214-340-1694 | |
Michelle S Tucker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1821 Golden Trail Ct Ste 200, Carrollton, TX 75010 Phone: 972-492-2222 Fax: 972-492-4453 | |
Dr. Afsheen Abid, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3044 Old Denton Rd Ste 138, Carrollton, TX 75007 Phone: 972-245-0007 | |
Neha Rao Manikonda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3044 Old Denton Rd Ste 138, Carrollton, TX 75007 Phone: 972-245-0007 |