Healthcare Provider Details

I. General information

NPI: 1801255625
Provider Name (Legal Business Name): PUNITA DHINDSA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7612 MAIN ST
THE COLONY TX
75056-4206
US

IV. Provider business mailing address

4 HMB CIR
FRANKFORT KY
40601-5376
US

V. Phone/Fax

Practice location:
  • Phone: 972-625-7000
  • Fax:
Mailing address:
  • Phone: 502-695-7725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberU1427
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: