Provider Demographics
NPI:1912237405
Name:SUNRAY ACTIVTY AD HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:SUNRAY ACTIVTY AD HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YEOU-AN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-881-8425
Mailing Address - Street 1:514 BUTTERNUT DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2549
Mailing Address - Country:US
Mailing Address - Phone:972-235-8838
Mailing Address - Fax:
Practice Address - Street 1:1301 CUSTER RD STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7400
Practice Address - Country:US
Practice Address - Phone:972-235-8838
Practice Address - Fax:972-881-8637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care