Individual
THEMISTOKLES CHAMOGEORGAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 JUNIUS ST STE 415, DALLAS, TX 75246-1615
(214) 820-7100
(214) 820-6863
Mailing address
3900 JUNIUS ST STE 415, DALLAS, TX 75246-1630
(214) 820-7100
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
P3698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057283-01
—
TX
05
—
3057283-02
—
TX
Enumeration date
09/15/2010
Last updated
01/13/2014
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