MEDICARE: TRUEMED HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1205788510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUEMED HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4825 SUNNYBROOK DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8409
Country	:	US
Telephone Number	:	214-734-5670
Fax Number	:	469-242-9489

Provider Business Practice Location Address
First Line	:	4825 SUNNYBROOK DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8409
Country	:	US
Telephone Number	:	214-734-5670
Fax Number	:	469-242-9489

Authorized Official
Title or Position	:	OWNER
Name	:	KHANKHAM KAITLYN SENESOURY
Credential	:
Telephone Number	:	817-831-6500

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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