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MAXI THEODORINE CHOUSAND M.D.
NPI 1366460941
Internal Medicine in Fort Worth, TX

Active since July 18, 2006
300 W ROSEDALE ST, FORT WORTH, TX 76104(817) 882-6003 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maxi Theodorine Chousand M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXI THEODORINE CHOUSAND M.D. (NPI 1366460941) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (K8078) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1366460941
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMAXI THEODORINE CHOUSANDCredential: M.D.
Location Address300 W ROSEDALE STFort Worth, TX 76104-4856
Mailing Address2561 Green Oak DrCarrollton, TX 75010-4224 · (972) 307-9116
Phone(817) 882-6003
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366460941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · K8078
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 W ROSEDALE ST, Fort Worth, TX 76104
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Other Names 1

Former Name (1)Meihati Soemijarsih M.d.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA DEL CARMEN LUGO M.D.
Internal Medicine
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 335-2202
MR. CLYDE EDWARD HARTMAN PA
Physician Assistant
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 335-2202
JOHN HOUSTON SMITH MD10
Surgery
300 W ROSEDALE ST
FT WORTH, TX 76104
Tarrant County (817) 882-6052
MRS. KHALDA SHERE M.D., M.P.H.
Family Medicine
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 335-2202
MRS. KAMI GAY SCHELLER RPH
Pharmacist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 335-2202
MR. EUGENE DOUGLAS PROVAN RPH
Pharmacist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (800) 849-3597
DR. ANTHONY J CIPRIANO DMD, MPH
Dentist
300 W ROSEDALE ST, VA/FWOPC
FORT WORTH, TX 76104
Tarrant County (817) 882-6205
MR. DAVID H. WASHINGTON RPH
Pharmacist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 882-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxi Chousand's NPI number?

The NPI number for Maxi Chousand is 1366460941. It was assigned to this individual provider in the NPPES registry on July 18, 2006. The provider is also known as Meihati Soemijarsih M.D..

Where is Maxi Chousand located?

Maxi Chousand practices at 300 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (817) 882-6003.

What is Maxi Chousand's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Maxi Chousand was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.