| Summit Gastroenterology Pllc | |
|
309 Regency Pkwy Ste 101 Mansfield TX 76063-5165 | |
| (682) 400-2153 | |
| (972) 572-2228 |
| Full Name | Summit Gastroenterology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 309 Regency Pkwy Ste 101, Mansfield, Texas |
| Authorized Official Name and Position | Sunitha Pudhota (OWNER) |
| Authorized Official Contact | 6824002153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Gastroenterology Pllc 309 Regency Pkwy Ste 101 Mansfield TX 76063-5165 Ph: (682) 400-2153 | Summit Gastroenterology Pllc 309 Regency Pkwy Ste 101 Mansfield TX 76063-5165 Ph: (682) 400-2153 |
| NPI Number | 1114355385 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 05/29/2019 |
| Medicare PECOS PAC ID | 0840411104 |
|---|---|
| Medicare Enrollment ID | O20141030000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114355385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | P1484 (Texas) | Primary |
| Provider Name | Sunitha G Pudhota |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952362980 PECOS PAC ID: 2668406927 Enrollment ID: I20120130000669 |
Mother's Magical Milk Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E Dallas St Ste 2, Mansfield, TX 76063 Phone: 817-405-9661 | |
Elysian Eyecare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 Highway 287 N Ste 105, Mansfield, TX 76063 Phone: 817-453-7591 Fax: 817-453-7715 | |
Soaring Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Us 287 Frontage Road, Suite 101, Mansfield, TX 76063 Phone: 214-817-8443 Fax: 214-387-1373 | |
Tmc Mansfield, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Highway 287 N Ste 300, Mansfield, TX 76063 Phone: 972-294-9666 | |
Livingspring Family Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3807 E Broad St Ste 101, Mansfield, TX 76063 Phone: 817-717-9597 Fax: 833-992-1938 | |
Mansfield Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 E Debbie Ln Ste 1103, Mansfield, TX 76063 Phone: 281-429-8526 | |
Nangha Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Regency Pkwy, Suite 107, Mansfield, TX 76063 Phone: 817-477-5884 Fax: 877-613-9101 |