DFW Rheumatology and Wellness PLLC
Organization Active NPI Rheumatology Physician · Red Oak, TX
NPI 1548023583 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1548023583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- Legal business name
- DFW RHEUMATOLOGY AND WELLNESS PLLC
- Practice address
- 106 Plaza Dr Ste B
Red Oak, TX 75154-3981 - Phone
- (469) 552-6630
- Fax
- (469) 552-6930
- NPI assigned
- Feb 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Sunny B Patel, DO
- Title
- DO/Owner
- Phone
- (321) 863-6984
Practitioners 5
-
Jasmine Milledge, FNP-C
-
Sunny Patel, MD
-
Samantha Gomes, PA-C
-
Timothy Boyd Roberson, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240312003137 | TX | Part B Supplier - Clinic/Group Practice | 6002252038 |
Receives reassigned benefits from 5 practitioners Practice locations: Dallas, TX; Red Oak, TX |
National Provider Directory
Locations
106 Plaza Dr
Ste B
Red Oak, TX 75154
Phone (469) 552-6630
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBAFDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | Yes |
Addresses
Primary practice location
106 Plaza Dr Ste B
Red Oak, TX 75154-3981
Mailing address
106 Plaza Dr Ste B
Red Oak, TX 75154-3981
Phone (469) 552-6630
Other providers in Red Oak, TX
- CVS Pharmacy Inc
- Damier Logistics LLC
- Danaid Home Health Care LLC
- Monica Yvette Davis
- Andrew Demichele
- Daniel H Diaz
- Tiffany DO
- Brandon Donald
- Pamela Louise Dudley
- Kelli Dulaney
All providers in Red Oak, TX · Rheumatology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.