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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN CHACKO MOONNUMAKAL

Active Sole Proprietor

MR. JOHN CHACKO MOONNUMAKAL is a Substance Abuse Psychiatric Nurse healthcare provider located in MISSOURI CITY, Texas. NPI 1922113448 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Psychiatric Nurse · MISSOURI CITY, TX

Registration Details

NPI Number
1922113448
Provider Type
Individual
Gender
Male
NPI Issued
Aug 21, 2006 (20.022070711436 yrs)
Last Updated
Jul 8, 2007
License
534183 (TX)
Sole Proprietor
Yes

Practice Information

Address
3239 MILL HOUSE RUN
MISSOURI CITY, TX, 774596514
Browse TX providers · Browse ZIP 77459
Phone
7137911414
Primary Specialty
Substance Abuse Psychiatric Nurse
163WP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.