| Sunrise Comprehensive Healthcare | |
|
10603 Bellaire Blvd Suite 116b Houston TX 77072-5222 | |
| (832) 328-1437 | |
| (832) 328-1443 |
| Full Name | Sunrise Comprehensive Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 10603 Bellaire Blvd, Houston, Texas |
| Authorized Official Name and Position | Duc H Phan (OWNER/SURGEON) |
| Authorized Official Contact | 8323281437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Comprehensive Healthcare 10603 Bellaire Blvd Suite 116b Houston TX 77072-5222 Ph: (832) 328-1437 | Sunrise Comprehensive Healthcare 10603 Bellaire Blvd Suite 116b Houston TX 77072-5222 Ph: (832) 328-1437 |
| NPI Number | 1316293913 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Medicare PECOS PAC ID | 9537319017 |
|---|---|
| Medicare Enrollment ID | O20121017000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316293913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Duc Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083946693 PECOS PAC ID: 6507027356 Enrollment ID: I20120424000506 |
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