OrganizationActive
247 Obgyn Surgical Assisting Services
NPI 1790179893 · Surgical Physician Assistant · Grand Prairie, TX
Provider details
- NPI number
- 1790179893
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Ricardo Chujutalli, Manager/Owner
Practice location
4924 Marsh Harrier Ave
Grand Prairie, TX 75052-3057
Phone: (972) 652-0705
Fax: (972) 752-7889
Mailing address
4924 Marsh Harrier Ave
Grand Prairie, TX 75052-3057
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2015-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.