Healthcare Provider Details

I. General information

NPI: 1538094982
Provider Name (Legal Business Name): SUGARLAND HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5351 MARLFIELD DR
NORFOLK VA
23502-2350
US

IV. Provider business mailing address

5351 MARLFIELD DR
NORFOLK VA
23502-2350
US

V. Phone/Fax

Practice location:
  • Phone: 713-766-2796
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MARY HOLBROOK
Title or Position: MANAGER
Credential:
Phone: 713-766-2796