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

Phillip Sumardi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053043091

Phillip Sumardi is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 456-5518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053043091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

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