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NPI Code Detail

MEDICARE: SUN HOUSTON, LLC

MEDICARE: SUN HOUSTON, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1003282039
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUN HOUSTON, LLC
Provider Business Mailing Address
First Line : PO BOX 4394
Second Line :
City : BRICK
State : NJ
Zip : 08723-0016
Country : US
Telephone Number : 732-747-1800
Fax Number :
Provider Business Practice Location Address
First Line : 7601 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1905
Country : US
Telephone Number : 713-796-2273
Fax Number :
Authorized Official
Title or Position : SENIOR VP FOR DEVELOPMENT
Name : TOM ROURKE
Credential :
Telephone Number : 972-467-4461
Provider Enumeration Date : 08/13/2015
Last Update Date : 01/23/2023

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Directions to “SUN HOUSTON, LLC ” Practice Location

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