Provider Demographics
NPI:1174786990
Name:CHOUCAIR SURGICAL, P.A.
Entity type:Organization
Organization Name:CHOUCAIR SURGICAL, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RAMSEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHOUCAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-390-0011
Mailing Address - Street 1:9301 N. CENTRAL EXPRESSWAY #551
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0806
Mailing Address - Country:US
Mailing Address - Phone:214-390-0011
Mailing Address - Fax:214-389-9799
Practice Address - Street 1:9301 N. CENTRAL EXPRESSWAY #551
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0806
Practice Address - Country:US
Practice Address - Phone:217-390-0011
Practice Address - Fax:214-389-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4913174400000X
TXE1606174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty