1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Internal Medicine
  6. NPI Profile

SUNDANCE PHYSICAL MEDICINE PLLC
NPI 1831811918
Internal Medicine in Fort Worth, TX

Active since September 14, 2022
1400 W 7TH ST STE 450, FORT WORTH, TX 76102(817) 935-8200(817) 887-2052 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Sep 26, 2022, Sep 14, 2022 (3 updates tracked since 2022).

About Sundance Physical Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNDANCE PHYSICAL MEDICINE PLLC (NPI 1831811918) is a healthcare organization registered as an internal medicine in Fort Worth, Texas and active in the NPI registry since September 2022. The organization lists Gennie Budet, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1831811918
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUNDANCE PHYSICAL MEDICINE PLLC
Location Address1400 W 7TH ST STE 450Fort Worth, TX 76102-2601
Mailing Address3829 Cathedral Lake DrFrisco, TX 75034-3871 · (337) 255-7011
Phone(817) 935-8200
Fax(817) 887-2052
Organization SubpartNo
Authorized OfficialGennie BudetCredentialing Director · (702) 462-9729
Enumeration DateSeptember 14, 2022
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1831811918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1400 W 7TH ST STE 450, Fort Worth, TX 76102
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE ELIZABETH FOLDS FNP-C
Nurse Practitioner (Family)
1400 W 7TH ST STE 450
FORT WORTH, TX 76102
Tarrant County (817) 935-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sundance Physical Medicine PLLC's NPI number?

The NPI number for Sundance Physical Medicine PLLC is 1831811918. It was assigned to this organization in the NPPES registry on September 14, 2022.

Where is Sundance Physical Medicine PLLC located?

Sundance Physical Medicine PLLC is located at 1400 W 7th St Ste 450, Fort Worth, TX 76102. The listed phone number is (817) 935-8200.

What is Sundance Physical Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Sundance Physical Medicine PLLC was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.