Provider Demographics
NPI:1891340865
Name:SUN HOUSTON, LLC
Entity Type:Organization
Organization Name:SUN HOUSTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT CORPORATE DEV
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROURKE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:972-467-4461
Mailing Address - Street 1:7601 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1905
Mailing Address - Country:US
Mailing Address - Phone:713-796-2273
Mailing Address - Fax:713-795-5735
Practice Address - Street 1:7601 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1905
Practice Address - Country:US
Practice Address - Phone:713-796-2273
Practice Address - Fax:713-795-5735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty