Organization
SUNRISE CHILD PSYCHIATRY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDORE ONIGU-OTITE MD (OWNER AND DIRECTOR)
(409) 939-0349
Entity
Organization
Contact information
Practice address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(832) 480-6232
Mailing address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(832) 480-6232
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M9774
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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