Healthcare Provider Details

I. General information

NPI: 1689504292
Provider Name (Legal Business Name): LUMA PHYSICIAN GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 N CENTRAL EXPY STE 302
MCKINNEY TX
75071-8816
US

IV. Provider business mailing address

2501 BUCER CT
MCKINNEY TX
75071-2356
US

V. Phone/Fax

Practice location:
  • Phone: 469-438-2985
  • Fax:
Mailing address:
  • Phone: 469-438-2985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PRAVEENA K TALLAPUREDDY
Title or Position: OWNER/MANAGING MEMBER/ PEDIATRICIAN
Credential: MD
Phone: 469-438-2985