Provider Demographics
NPI:1053364216
Name:YURI CHUKA, M.D.
Entity type:Organization
Organization Name:YURI CHUKA, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-234-6600
Mailing Address - Street 1:PO BOX 671013
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75367-1013
Mailing Address - Country:US
Mailing Address - Phone:972-234-6600
Mailing Address - Fax:972-234-2522
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-747-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1546207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBLUE CROSS-0077HAOtherYURI CHUKA, M.D.
TXDEPT/LABOR-608319300OtherYURI CHUKA, M.D.
TX161144402Medicaid
TXPKLND COM HLTH-14141OtherYURI CHUKA, M.D.
TXBLUE CROSS-0077HAOtherYURI CHUKA, M.D.
TX161144402Medicaid