Organization
SP RHEUMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTHI PENMETSA MD (MANAGING MEMBER)
(972) 972-4443
Entity
Organization
Contact information
Practice address
423 E MAIN ST STE 1, MIDLOTHIAN, TX 76065-3345
(972) 972-4443
(972) 972-4470
Mailing address
211 E AVENUE G #1358, MIDLOTHIAN, TX 76065-3039
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
K9634
TX
Other
Enumeration date
05/20/2018
Last updated
05/05/2024
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