Organization
SUNRISE VISTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY PRICE (CREDENTIALING COORD)
(713) 275-2457
Entity
Organization
Contact information
Practice address
6927 FM 1960 WEST, SUITE D, HOUSTON, TX 77069
(281) 377-5257
(281) 377-5260
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
03/07/2016
Last updated
03/07/2016
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