# SP OBGYN ,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659056968
- **Authorized official:** DR. SRIDEVI PANCHAMUKHI MD (CEO)
- **Authorized official phone:** (618) 201-0632

## Contact information

- **Practice address:** 9925 GILLESPIE DR STE 2400, PLANO, TX 75025-1099
- **Practice address phone:** (972) 905-1550
- **Practice address fax:** (855) 592-0913
- **Mailing address:** 6863 ELDARICA PL, FRISCO, TX 75034-8352
- **Mailing address phone:** (618) 201-0632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 09/03/2025