Healthcare Provider Details

I. General information

NPI: 1609538743
Provider Name (Legal Business Name): SHORO KUNDU FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 MEDICAL CENTER DR
MCKINNEY TX
75069-1881
US

IV. Provider business mailing address

3410 PRESIDENT GEORGE BUSH TPKE
DALLAS TX
75287-6629
US

V. Phone/Fax

Practice location:
  • Phone: 972-369-4220
  • Fax: 214-540-9470
Mailing address:
  • Phone: 214-206-4706
  • Fax: 888-635-3573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number738174
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAP145244
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: