Organization
SUNRISE VISTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY PRICE (CREDENTIALING COORD)
(281) 500-9606
Entity
Organization
Contact information
Practice address
6860 HIGHWAY 6 N, SUITE A, HOUSTON, TX 77084-1342
(281) 500-9605
(281) 500-9611
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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