Provider Demographics
NPI:1598354953
Name:SUN VEIN & VASCULAR PLLC
Entity Type:Organization
Organization Name:SUN VEIN & VASCULAR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-556-8880
Mailing Address - Street 1:5600 W LOVERS LN STE 225
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-4374
Mailing Address - Country:US
Mailing Address - Phone:214-556-8880
Mailing Address - Fax:214-556-8881
Practice Address - Street 1:5600 W LOVERS LN STE 225
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-4374
Practice Address - Country:US
Practice Address - Phone:214-556-8880
Practice Address - Fax:214-556-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty