Organization
247 OBGYN SURGICAL ASSISTING SERVICES
Active
Organization
247 OBGYN SURGICAL ASSISTING SERVICES
Active
Other names
Ricardo Chujutalli CSA
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO CHUJUTALLI CSA (MANAGER/OWNER)
(972) 652-0705
Entity
Organization
Contact information
Practice address
4924 MARSH HARRIER AVE, GRAND PRAIRIE, TX 75052-3057
(972) 652-0705
(972) 752-7889
Mailing address
4924 MARSH HARRIER AVE, GRAND PRAIRIE, TX 75052-3057
(972) 652-0705
(972) 752-7889
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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