# SUNRISE VISTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467900837
- **Authorized official:** JILL ROSALES (BILLING)
- **Authorized official phone:** (713) 275-2460

## Contact information

- **Practice address:** 9745 FM 1960 BYPASS RD W, HUMBLE, TX 77338-4069
- **Practice address phone:** (713) 580-2500
- **Practice address fax:** (713) 275-2466
- **Mailing address:** PO BOX 4615, MSC 275, HOUSTON, TX 77210-4615
- **Mailing address phone:** (713) 580-2500
- **Mailing address fax:** (713) 275-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156F00000X | Technician/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/14/2016