| Sunrise Mall F.d.c., P.a. | |
|
5858 S Padre Island Dr Ste 54a Corpus Christi TX 78412-3920 | |
| (361) 994-4867 | |
| (361) 994-1655 |
| Full Name | Sunrise Mall F.d.c., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 5858 S Padre Island Dr, Corpus Christi, Texas |
| Authorized Official Name and Position | Lynn Armstrong (REGIONAL MANAGER) |
| Authorized Official Contact | 5053284867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Mall F.d.c., P.a. 5858 S Padre Island Dr Ste 54a Corpus Christi TX 78412-3920 Ph: (361) 994-4867 | Sunrise Mall F.d.c., P.a. 5858 S Padre Island Dr Ste 54a Corpus Christi TX 78412-3920 Ph: (361) 994-4867 |
| NPI Number | 1023276268 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023276268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0008481 (Texas) | Primary |
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