Provider Demographics
NPI:1083661557
Name:CHOUCAIR, RAMSEY JOE (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMSEY
Middle Name:JOE
Last Name:CHOUCAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2731 LEMMON AVE E
Mailing Address - Street 2:SUITE 306
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2838
Mailing Address - Country:US
Mailing Address - Phone:214-754-9001
Mailing Address - Fax:214-754-9080
Practice Address - Street 1:2731 LEMMON AVE E
Practice Address - Street 2:SUITE 306
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2838
Practice Address - Country:US
Practice Address - Phone:214-754-9001
Practice Address - Fax:214-754-9080
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4913174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21848Medicare UPIN