| Sushil B. Chokshi, M.d., P.a. | |
|
217 W Belknap St Jacksboro TX 76458-2307 | |
| (940) 567-2101 | |
| (940) 567-5522 |
| Full Name | Sushil B. Chokshi, M.d., P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 217 W Belknap St, Jacksboro, Texas |
| Authorized Official Name and Position | Sushil B. Chokshi (PRESIDENT) |
| Authorized Official Contact | 9405672101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sushil B. Chokshi, M.d., P.a. 217 W Belknap St P.o. Box 487 Jacksboro TX 76458-2307 Ph: (940) 567-2101 | Sushil B. Chokshi, M.d., P.a. 217 W Belknap St Jacksboro TX 76458-2307 Ph: (940) 567-2101 |
| NPI Number | 1770750945 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770750945 | NPI | - | NPPES |
| 1121238-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | F5865 (Texas) | Primary |
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