MEDICARE: GOOD DOCTOR CLINIC AND URGENT CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	207Q00000X	Family Medicine Physician
3	208000000X	Pediatrics Physician
4	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1992210579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD DOCTOR CLINIC AND URGENT CARE PLLC

Provider Business Mailing Address
First Line	:	777 E WHEATLAND RD STE 108
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-4918
Country	:	US
Telephone Number	:	972-296-9930
Fax Number	:	972-709-1340

Provider Business Practice Location Address
First Line	:	4759 SOUTH FWY STE A
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76115-3655
Country	:	US
Telephone Number	:	817-923-7374
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DR. SUDATH RANNULU
Credential	:	MD
Telephone Number	:	972-296-9930

Provider Enumeration Date	:	12/05/2017
Last Update Date	:	04/27/2020

Similar Medicare Providers

1932361078 — SUDATH GUNADEERA RANNULU M.D.
Practice Location Address:

4759 SOUTH FWY , STE 101
FT WORTH, TX
76115-3655

Practice Phone: 972-293-6300
Practice Fax: 972-293-6301

1568907202 — KATHERINE KHEN ZAMA MBUH FNP
Practice Location Address:

4759 SOUTH FWY STE 101
FORT WORTH, TX
76115-3655

Practice Phone: 817-382-0005
Practice Fax: 682-334-7238

1205980232 — SOUTH SIDE FOOT CLINIC INC.
Practice Location Address:

4759 SOUTH FWY , SUITE B
FORT WORTH, TX
76115-3655

Practice Phone: 817-923-1953
Practice Fax: 817-923-9615

1700014214 — SOUTH SIDE FOOT CLINIC
Practice Location Address:

4759 SOUTH FWY STE B
FORT WORTH, TX
76115-3655

Practice Phone: 817-923-1953
Practice Fax: 817-923-9615

1447752852 — ANDREW NGUYEN DAO FNP-C
Practice Location Address:

4759 SOUTH FWY
FORT WORTH, TX
76115-3655

Practice Phone: 817-923-7374
Practice Fax:

1699551499 — INTERVENTIONAL PARTNERS PLLC
Practice Location Address:

4759 SOUTH FWY STE B
FORT WORTH, TX
76115-3655

Practice Phone: 817-923-1953
Practice Fax:

Directions to “GOOD DOCTOR CLINIC AND URGENT CARE 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.