Provider Demographics
NPI:1548023583
Name:DFW RHEUMATOLOGY AND WELLNESS PLLC
Entity type:Organization
Organization Name:DFW RHEUMATOLOGY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:321-863-6984
Mailing Address - Street 1:106 PLAZA DR STE B
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3981
Mailing Address - Country:US
Mailing Address - Phone:469-552-6630
Mailing Address - Fax:469-552-6930
Practice Address - Street 1:106 PLAZA DR STE B
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-3981
Practice Address - Country:US
Practice Address - Phone:469-552-6630
Practice Address - Fax:469-552-6930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty