Organization
SUNRISE VISTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY PRICE (CREDNTIALING COORD)
(713) 275-2457
Entity
Organization
Contact information
Practice address
10223 BROADWAY ST, SUITE J, PEARLAND, TX 77584-7880
(281) 971-9333
(281) 971-9336
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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