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NPI Code Detail

MEDICARE: CHAKRA DIAGNOSTICS LLC

MEDICARE: CHAKRA DIAGNOSTICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1225855943
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAKRA DIAGNOSTICS LLC
Provider Business Mailing Address
First Line : 17101 W GRAND PKWY S STE 90
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-4985
Country : US
Telephone Number : 214-985-2624
Fax Number : 281-849-6786
Provider Business Practice Location Address
First Line : 6833 COIT RD STE 104
Second Line :
City : PLANO
State : TX
Zip : 75024-5400
Country : US
Telephone Number : 281-214-9823
Fax Number : 281-849-6786
Authorized Official
Title or Position : OWNER
Name : JOHN DIXON
Credential : OWNER
Telephone Number : 214-985-2624
Provider Enumeration Date : 09/24/2024
Last Update Date : 06/09/2025

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Directions to “CHAKRA DIAGNOSTICS LLC ” Practice Location

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