MEDICARE: SP RHEUMATOLOGY PLLC

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	207RR0500X	Rheumatology Physician	K9634	TX

General Provider Information

NPI Number	:	1790276384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SP RHEUMATOLOGY PLLC

Provider Business Mailing Address
First Line	:	211 E AVENUE G #1358
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-3039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 E MAIN ST STE 1
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-3345
Country	:	US
Telephone Number	:	972-972-4443
Fax Number	:	972-972-4470

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SANTHI PENMETSA
Credential	:	MD
Telephone Number	:	972-972-4443

Provider Enumeration Date	:	05/20/2018
Last Update Date	:	05/05/2024

Similar Medicare Providers

1528148947 — SANTHI PENMETSA MD
Practice Location Address:

423 E MAIN ST , STE 1
MIDLOTHIAN, TX
76065-3345

Practice Phone: 972-972-4443
Practice Fax: 972-972-4470

1588847610 — DR. TRAVIS GREGORY BROWN M.D.
Practice Location Address:

423 E MAIN ST STE 3
MIDLOTHIAN, TX
76065-3345

Practice Phone: 469-672-6687
Practice Fax: 184-496-5942

1063778421 — ALLEN HEARING CLINIC, INC.
Practice Location Address:

423 E MAIN ST STE 1
MIDLOTHIAN, TX
76065-3345

Practice Phone: 972-723-6181
Practice Fax:

1730572801 — DERRICK CARRILLO
Practice Location Address:

423 E MAIN ST STE 1
MIDLOTHIAN, TX
76065-3345

Practice Phone: 469-747-1929
Practice Fax: 469-537-7038

1336708692 — TRAVIS BROWN, MD, PA
Practice Location Address:

423 E MAIN ST
MIDLOTHIAN, TX
76065-3345

Practice Phone: 469-672-6687
Practice Fax:

1932035581 — MRS. MEREDITH KATE MILKE RD, LD
Practice Location Address:

925 WINECUP WAY
MIDLOTHIAN, TX
76065-2837

Practice Phone: 972-965-4080
Practice Fax:

Directions to “SP RHEUMATOLOGY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.