Organization Active NPI

Med Providence Solutions LLC

  • Urgent Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1972422533
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MED PROVIDENCE SOLUTIONS LLC
Practice address
4100 Spring Valley Rd Ste 623
Dallas, TX 75244-3750
Phone
(312) 395-7290
Fax
(312) 395-7290
NPI assigned
Jul 15, 2026
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Sairam Anumalla
Title
Owner
Phone
(312) 395-7290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

4100 Spring Valley Rd Ste 623
Dallas, TX 75244-3750

Mailing address

4100 Spring Valley Rd Ste 623
Dallas, TX 75244-3750
Phone (312) 395-7290

National Provider Directory

National Provider Directory

Locations

4100 Spring Valley Rd
Ste 623
Dallas, TX 75244

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1972422533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 623",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443750",
            "telephone_number": "312-395-7290",
            "fax_number": "312-395-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 623",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443750",
            "telephone_number": "312-395-7290",
            "fax_number": "312-395-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PROVIDENCE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "ANUMALLA",
        "authorized_official_first_name": "SAIRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-395-7290"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.