Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ricardo Chujutalli, CSA

Individual provider Surgical Assistant · NPI 1215178769

Ricardo Chujutalli, CSA is a Surgical Assistant in Grand Prairie, Texas. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2

Practice location Address checks out

4924 Marsh Harrier Ave
Grand Prairie, TX 75052-3057
Phone: (972) 652-0705
Fax: (972) 752-7889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Assistant Taxonomy 246ZC0007X

Record details

NPI number1215178769
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedMarch 12, 2009
Last updated in NPPESMarch 26, 2015
Mailing address4924 Marsh Harrier Ave, Grand Prairie, TX 75052-3057

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