Individual provider · Type 1 NPI
Manu Chacko, MD
General Practice Physician · Bryan, TX
NPI number
1366704041
Active
Practice location
1200 Briarcrest Dr
Bryan, TX 77802-5222
Mailing address
8322 Cape Royal Dr
Cypress, TX 77433-6671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 0468 (ZZ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Bryan
About NPI 1366704041
Manu Chacko, MD's National Provider Identifier is 1366704041, issued on Jun 8, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bryan, TX. The record was last updated on Jun 8, 2012.