Provider Demographics
NPI:1215317425
Name:DFW ENDOCRINOLOGY P.A.
Entity type:Organization
Organization Name:DFW ENDOCRINOLOGY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNKAVALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-222-2228
Mailing Address - Street 1:4505 BRENDA DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-1001
Mailing Address - Country:US
Mailing Address - Phone:469-930-4655
Mailing Address - Fax:
Practice Address - Street 1:3311 YUCCA DR STE 100
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2743
Practice Address - Country:US
Practice Address - Phone:469-930-4655
Practice Address - Fax:877-776-3240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5547261QM2500X
207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty