Organization
SUN PRIMARY CARE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI GHAZAVI ANP (NURSE PRACTITIONER)
(281) 818-8448
Entity
Organization
Contact information
Practice address
4747 BELLAIRE BLVD, SUITE 101, BELLAIRE, TX 77401-4527
(832) 780-9598
(206) 666-4377
Mailing address
10731 LONGMONT DR, HOUSTON, TX 77042-2311
(713) 242-1248
(206) 666-4377
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
773335
TX
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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