Physician Assistant, Surgical
247 OBGYN SURGICAL ASSISTING SERVICES
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790179893 · enumerated 2015-03-26 · record updated 2015-03-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RICARDO CHUJUTALLI CSA, Manager/Owner · (972) 652-0705
Other names: RICARDO CHUJUTALLI CSA
Addresses and phones
- Mailing address 4924 MARSH HARRIER AVE, GRAND PRAIRIE, TX, 75052-3057 (972) 652-0705 Fax (972) 752-7889 Google Maps Apple Maps OpenStreetMap
- Practice location 4924 MARSH HARRIER AVE, GRAND PRAIRIE, TX, 75052-3057 (972) 652-0705 Fax (972) 752-7889 Google Maps Apple Maps OpenStreetMap
Specialties
- Specialist/Technologist, Other, Surgical Assistant 246ZC0007X
- Physician Assistant, Surgical 363AS0400X · Primary
In this directory
TX Dallas County Grand Prairie Physician Assistant, Surgical
Locations and evidence
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Practice location
GRAND PRAIRIE, TX, 750523057
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.