MEDICARE: DFW ENDOCRINOLOGY P.A.

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	261QM2500X	Medical Specialty Clinic/Center	M5547	TX
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1215317425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DFW ENDOCRINOLOGY P.A.

Provider Business Mailing Address
First Line	:	4505 BRENDA DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-1001
Country	:	US
Telephone Number	:	469-930-4655
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 YUCCA DR STE 100
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2743
Country	:	US
Telephone Number	:	469-930-4655
Fax Number	:	877-776-3240

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SREE SUNKAVALLI
Credential	:
Telephone Number	:	469-222-2228

Provider Enumeration Date	:	06/02/2015
Last Update Date	:	07/14/2025

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