Organization
SUNNYSSIX, PLLC
Active
Other names
Community First Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
NIDISH JOSE NP (CEO)
(817) 823-5464
Entity
Organization
Contact information
Practice address
2410 LUNA RD # 204, CARROLLTON, TX 75006-6538
(844) 469-7072
Mailing address
2410 LUNA RD # 204, CARROLLTON, TX 75006-6538
(469) 844-7072
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP134568
TX
Other
Enumeration date
11/07/2017
Last updated
10/14/2024
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