Royal Crown Healthcare Provider Incorporated

NPI #1952659724 in Irving, Texas

Provider Information

NPI Number: 1952659724
Entity Type: Organization
Organization Name: Royal Crown Healthcare Provider Incorporated
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Aug 27, 2012
Last Updated: Jan 2, 2013

Practice Location

Address: 1300 W WALNUT HILL LN
Address 2: SUITE- 240
City: Irving
State: Texas
ZIP Code: 75038-3000
Phone: (214) 492-3947

Authorized Official

Name: DR. TINU THOMAS CHACKO, DPT
Title: PHYSICAL THERAPIST
Phone: (214) 492-3947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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