Healthcare Provider Details

I. General information

NPI: 1134169758
Provider Name (Legal Business Name): DAVID M. CHIHAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4325 N. JOSEY LANE SUITE 101
CARROLLTON TX
75010-4636
US

IV. Provider business mailing address

4325 N. JOSEY LANE SUITE 101
CARROLLTON TX
75010-4636
US

V. Phone/Fax

Practice location:
  • Phone: 972-492-4006
  • Fax: 972-492-7198
Mailing address:
  • Phone: 972-492-4006
  • Fax: 972-492-7198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberG7630
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: