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Chankanika Theam

NPI 1366353377 · on the registry since 2026 · sole proprietor

Practice

Address
2412 Avalon Ct
Bedford, TX 76021
Phone
(806) 283-1067

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas