Sunrise Med Clinic
Clinic/Center, Multi-Specialty in El Paso, TX. Organization (NPI-2).
NPI number1023720307
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1023720307
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunrise Med Clinic
- Organization subpart
- No
- Enumeration date
- Dec 19, 2022
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
1397 George Dieter Dr Ste EEl Paso, TX 79936-7681
Phone 915-200-3825
Mailing address
1397 George Dieter Dr Ste EEl Paso, TX 79936-7681
Phone 915-200-3825
Authorized official
Sheila Sanchez
Owner
9153090611
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