| NPI | 1730924580 |
|---|---|
| Doing Business As | SUNDARA MEDICAL |
| Entity Type | Organization |
| Authorized Contact | TAMARA BROADHEAD Medical Director 817-319-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-05-28 |