NPI age
19 years
Enumerated 2007-04-27
● Active
Type 1 · Individual
DR. Suraphandhu Srivathanakul, M.D
Srivathanakul is 1 of 366 specialist providers in Dallas and 1 of 4038 in Texas.
Primary specialty
Specialist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-03-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 4038 active specialist providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
2630 N Fitzhugh Ave
Dallas, TX 752043366
Mailing address
2630 N Fitzhugh Ave
Dallas, TX 752043366
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1202772-01 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new specialist provider has been added in Dallas in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.