Organization
SUNRISE VISTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL ROSALES (BILLING)
(713) 275-2460
Entity
Organization
Contact information
Practice address
9745 FM 1960 BYPASS RD W, HUMBLE, TX 77338-4069
(713) 580-2500
(713) 275-2466
Mailing address
PO BOX 4615, MSC 275, HOUSTON, TX 77210-4615
(713) 580-2500
(713) 275-2466
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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