Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICARDO CHUJUTALLI, CSA
Active Sole ProprietorRICARDO CHUJUTALLI, CSA is a Surgical Physician Assistant healthcare provider located in GRAND PRAIRIE, Texas. NPI 1215178769 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1215178769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2009 (17.389926337589 yrs)
- Last Updated
- Mar 26, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
4924 MARSH HARRIER AVEGRAND PRAIRIE, TX, 750523057Browse TX providers · Browse ZIP 75052
- Phone
- 9726520705
- Fax
- 9727527889
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in GRAND PRAIRIE, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. ANGELA BENITA HOLLAND | — | 1316386774 |
| MR. PRESCOTT BENTON HOLLAND | — | 1205275617 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.