Individual
DR. DONGXU SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 N JEFFERSON AVE, MT PLEASANT, TX 75455-2338
(903) 577-6000
Mailing address
1370 N INTERSTATE DR, SUITE 154, NORMAN, OK 73072-3376
(405) 307-6668
(405) 701-6170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28082
OK
207R00000X
Internal Medicine Physician
N7972
TX
208M00000X
Hospitalist Physician
Primary
28082
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220590807
—
TX
01
—
75-2616977-042
TRICARE
TX
01
—
8DK100
BCBS
TX
01
—
P01105249
RAIL ROAD
TX
Enumeration date
08/28/2007
Last updated
03/18/2019
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