MEDICARE: SUN CHOICE PLLC

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
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1518545318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN CHOICE PLLC

Provider Business Mailing Address
First Line	:	1005 S CROWLEY RD
Second Line	:
City	:	CROWLEY
State	:	TX
Zip	:	76036-4282
Country	:	US
Telephone Number	:	817-224-2887
Fax Number	:

Provider Business Practice Location Address
First Line	:	3321 S COOPER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2345
Country	:	US
Telephone Number	:	817-224-2887
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STEPHANIE LEBLANC
Credential	:
Telephone Number	:	817-224-2887

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	02/29/2024

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Directions to “SUN CHOICE PLLC ” Practice Location

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