Individual
MINGLI SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA,MSN,RN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
680114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188620201
—
TX
01
—
88199U
BCBS
TX
01
—
P00622327
RR MEDICARE
—
Enumeration date
09/05/2007
Last updated
08/09/2011
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