Benjamin Chacko
Ophthalmologist
3851 Roger Brooke Dr Brooke Army Medical Center. Mche-Qd/ Credentials
Fort Sam Houston
, Texas 78234-4501
Benjamin Chacko
Ophthalmologist
3851 Roger Brooke Dr Brooke Army Medical Center. Mche-Qd/ Credentials
Fort Sam Houston
, Texas 78234-4501
(210) 822-3087
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Benjamin Chacko
- 11 Myrtlewood
- San Antonio, TX
- Zip : 78218-6000
- Phone : (210) 822-3087
Second Address
- Benjamin Chacko
- 3851 Roger Brooke Dr Brooke Army Medical Center. Mche-Qd/ Credentials
- Fort Sam Houston, TX
- Zip : 78234-4501
- Phone : (210) 916-1245
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 25MA04730600 | NJ |
National Provider Identifier
| NPI | 1033109269 |
|---|---|
| Provider Name | Benjamin Chacko |
| First Address | San Antonio, TX 78218-6000 |
| Second Address | Fort Sam Houston, TX 78234-4501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.