| Sunrise Child Psychiatry Clinic, Pllc | |
|
11200 Broadway St Ste 2743 Pearland TX 77584-9787 | |
| (832) 480-6232 | |
| Not Available |
| Full Name | Sunrise Child Psychiatry Clinic, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 11200 Broadway St Ste 2743, Pearland, Texas |
| Authorized Official Name and Position | Edore Onigu-otite (OWNER AND DIRECTOR) |
| Authorized Official Contact | 4099390349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Child Psychiatry Clinic, Pllc 11200 Broadway St Ste 2743 Pearland TX 77584-9787 Ph: (832) 480-6232 | Sunrise Child Psychiatry Clinic, Pllc 11200 Broadway St Ste 2743 Pearland TX 77584-9787 Ph: (832) 480-6232 |
| NPI Number | 1326527979 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326527979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M9774 (Texas) | Primary |
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