Prohealth Studio Family Practice & Pediatrics PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROHEALTH STUDIO FAMILY PRACTICE & PEDIATRICS PLLC

Practice address

4645 Wyndham LN Ste 230
Frisco, TX 75033-0024

Phone

(469) 473-4120

Fax

(817) 417-9008

NPI assigned

Mar 24, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Purnachander R Sirikonda, MD

Title

Authorized Official

Phone

(469) 473-4120

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1417758541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12071 TOSCANA WAY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 WYNDHAM LN STE 230",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330024",
            "telephone_number": "469-473-4120",
            "fax_number": "817-417-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6853 Coit Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750245466",
            "country_code": "US",
            "telephone_number": "469-543-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROHEALTH STUDIO FAMILY PRACTICE & PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "SIRIKONDA",
        "authorized_official_first_name": "PURNACHANDER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-473-4120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Frisco, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.