Provider Demographics
NPI:1992954093
Name:SREE MEDICALS PLLC
Entity type:Organization
Organization Name:SREE MEDICALS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:UMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINTAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-430-0760
Mailing Address - Street 1:25663 SMOTHERMAN RD STE 204
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4777
Mailing Address - Country:US
Mailing Address - Phone:469-430-0760
Mailing Address - Fax:972-924-4300
Practice Address - Street 1:25663 SMOTHERMAN RD STE 204
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4777
Practice Address - Country:US
Practice Address - Phone:972-924-2900
Practice Address - Fax:972-924-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X, 261QU0200X
TXM3993305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3919953-01Medicaid