MEDICARE: SUNRISE HEALTHCARE

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	111NR0400X	Rehabilitation Chiropractor	F3272	TX

General Provider Information

NPI Number	:	1891931812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE HEALTHCARE

Provider Business Mailing Address
First Line	:	6666 HARWIN DR STE 430
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2291
Country	:	US
Telephone Number	:	713-780-3520
Fax Number	:	713-780-7064

Provider Business Practice Location Address
First Line	:	6666 HARWIN DR STE 430
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2291
Country	:	US
Telephone Number	:	713-780-3520
Fax Number	:	713-780-7064

Authorized Official
Title or Position	:	OFFICE SUPERVISOR
Name	:	MS. MARISA RODRIGUES
Credential	:
Telephone Number	:	713-780-3520

Provider Enumeration Date	:	12/22/2008
Last Update Date	:	12/22/2008

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Directions to “SUNRISE HEALTHCARE ” Practice Location

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