Chacko, Mathew Vadakkeveettil

Chacko, Mathew Vadakkeveettil is an individual health care provider with primary practice located at 4500 S Lancaster Rd , Dallas TX 75216-7167. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Chacko, Mathew Vadakkeveettil can be contacted via phone (214) 727-1031.

Contact Information

Primary practice address
4500 S Lancaster Rd Dallas TX 75216-7167
Phone: (214) 727-1031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 739088 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1089361 Texas

Profile Details

NPI number 1104538552
LBN Legal business name Chacko, Mathew Vadakkeveettil
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2022
Last updated Dec 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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