DR. Mary Anne Sapna Chacko, M.D., PHD

NPI #1932456605 in Mansfield, Texas

Provider Information

NPI Number: 1932456605
Entity Type: Individual
Name: DR. Mary Anne Sapna Chacko, M.D., PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D., PHD
Enumeration Date: Aug 12, 2012
Last Updated: Oct 23, 2024

Practice Location

Address: 1752 BROAD PARK CIR N STE 114
City: Mansfield
State: Texas
ZIP Code: 76063-7824
Phone: (855) 893-5637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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