Organization
SUNNYSIDE MEDICAL
Active
Organization
SUNNYSIDE MEDICAL
Active
Other names
Sunnyside Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONELL WILLIAMS JR. (CONTRACT ADMINISTRATOR)
(504) 495-2727
Entity
Organization
Contact information
Practice address
4561 EDFIELD ST, HOUSTON, TX 77051-1909
(713) 425-3772
(713) 425-3772
Mailing address
4561 EDFIELD ST, HOUSTON, TX 77051-1909
(713) 425-3772
(713) 425-3772
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up