Healthcare Provider Details

I. General information

NPI: 1306752308
Provider Name (Legal Business Name): SUNRISE PATH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 E END BLVD S STE 11
MARSHALL TX
75670-5600
US

IV. Provider business mailing address

711 E END BLVD S STE 11
MARSHALL TX
75670-5600
US

V. Phone/Fax

Practice location:
  • Phone: 346-396-1252
  • Fax:
Mailing address:
  • Phone: 346-396-1252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LYDIA HARRINGTON
Title or Position: MANAGING MEMBER
Credential:
Phone: 346-396-1252