| NPI | 1790179893 |
|---|---|
| Doing Business As | RICARDO CHUJUTALLI CSA |
| Entity Type | Organization |
| Authorized Contact | RICARDO CHUJUTALLI Manager/Owner 972-652-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |