Individual provider · Type 1 NPI
Ricardo Chujutalli, CSA
Surgical Physician Assistant · Grand Prairie, TX
NPI number
1215178769
Active
Practice location
4924 Marsh Harrier Ave
Grand Prairie, TX 75052-3057
Fax (972) 752-7889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1215178769
Ricardo Chujutalli, CSA's National Provider Identifier is 1215178769, issued on Mar 12, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Prairie, TX. The record was last updated on Mar 26, 2015.