| Leena Chacko M.d P.a | |
|
17320 Red Oak Dr Ste 260 Houston TX 77090-2643 | |
| (936) 242-1728 | |
| (936) 447-9145 |
| Full Name | Leena Chacko M.d P.a |
|---|---|
| Speciality | Family Medicine |
| Location | 17320 Red Oak Dr Ste 260, Houston, Texas |
| Authorized Official Name and Position | Leena Chacko (PRESIDENT) |
| Authorized Official Contact | 9362421728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leena Chacko M.d P.a Po Box 131083 The Woodlands TX 77393-1083 Ph: (832) 585-7967 | Leena Chacko M.d P.a 17320 Red Oak Dr Ste 260 Houston TX 77090-2643 Ph: (936) 242-1728 |
| NPI Number | 1609002138 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 04/25/2020 |
| Medicare PECOS PAC ID | 8123173580 |
|---|---|
| Medicare Enrollment ID | O20090908000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609002138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leena Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346208279 PECOS PAC ID: 9133157449 Enrollment ID: I20090113000449 |
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