Provider Demographics
NPI:1689174914
Name:CHACKO, ZUBIN BABU (OD, MBA, MHA)
Entity Type:Individual
Prefix:DR
First Name:ZUBIN
Middle Name:BABU
Last Name:CHACKO
Suffix:
Gender:M
Credentials:OD, MBA, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6037 FRY RD STE 180
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1804
Mailing Address - Country:US
Mailing Address - Phone:281-699-5770
Mailing Address - Fax:
Practice Address - Street 1:6037 FRY RD STE 180
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1804
Practice Address - Country:US
Practice Address - Phone:281-699-5770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9158TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist