Provider Demographics
NPI:1023467941
Name:KR&SUNS PLLC
Entity type:Organization
Organization Name:KR&SUNS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF DENTAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDARAGOPAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:408-203-9810
Mailing Address - Street 1:9910 ST ROMAIN DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1920
Mailing Address - Country:US
Mailing Address - Phone:408-203-9810
Mailing Address - Fax:
Practice Address - Street 1:4747 FM 1463
Practice Address - Street 2:SUITE 200
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494
Practice Address - Country:US
Practice Address - Phone:408-203-9810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KR&SUNS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27303122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty