Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sundance Physical Medicine PLLC

Organization Emergency Medicine Physician · NPI 1831811918

Sundance Physical Medicine PLLC is an Emergency Medicine Physician in Fort Worth, Texas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 W 7th St Ste 450
Fort Worth, TX 76102-2601
Phone: (817) 935-8200
Fax: (817) 887-2052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1831811918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gennie Budet — Credentialing Director · (702) 462-9729
NPI enumeratedSeptember 14, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing address3829 Cathedral Lake Dr, Frisco, TX 75034-3871

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