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NPI Code Detail

MEDICARE: REKHA CHACKO FNP

MEDICARE: REKHA CHACKO FNP
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
1363LF0000XFamily Nurse PractitionerAP141799TX

General Provider Information

NPI Number : 1821611757
Entity Type Code : Individual
Provider Name (Legal Business Name) : REKHA CHACKO FNP
Provider Business Mailing Address
First Line : 4526 WARBLER LN
Second Line :
City : GARLAND
State : TX
Zip : 75043-2688
Country : US
Telephone Number : 469-274-5141
Fax Number :
Provider Business Practice Location Address
First Line : 1413 OATES DR
Second Line :
City : MESQUITE
State : TX
Zip : 75150-1345
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2020
Last Update Date : 12/08/2025

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Directions to “ REKHA CHACKO FNP” Practice Location

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