Organization
SUNRISE VISA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY PRICE (CREDENTIALING COORD)
(713) 275-2457
Entity
Organization
Contact information
Practice address
1537 W BAY AREA BLVD, WEBSTER, TX 77598-3400
(281) 954-3655
(281) 954-3658
Mailing address
18850 S MEMORIAL DR, HUMBLE, TX 77338-4288
(281) 446-7900
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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