Provider Demographics
NPI:1740911049
Name:HASSAN, SUNSHINE (LM, CPM)
Entity type:Individual
Prefix:
First Name:SUNSHINE
Middle Name:
Last Name:HASSAN
Suffix:
Gender:
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 BARBEE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5212
Mailing Address - Country:US
Mailing Address - Phone:713-643-9433
Mailing Address - Fax:
Practice Address - Street 1:2218 BARBEE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5212
Practice Address - Country:US
Practice Address - Phone:713-643-9433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-19
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99488176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000000OtherMIDWIFE