Organization
SUSHIL B. CHOKSHI, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHIL B. CHOKSHI M.D. (PRESIDENT)
(940) 567-2101
Entity
Organization
Contact information
Practice address
217 W BELKNAP ST, JACKSBORO, TX 76458-2307
(940) 567-2101
(940) 567-5522
Mailing address
217 W BELKNAP ST, P.O. BOX 487, JACKSBORO, TX 76458-2307
(940) 567-2101
(940) 567-5522
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F5865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121238-01
—
TX
Enumeration date
05/15/2008
Last updated
05/15/2008
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