Provider Demographics
NPI:1538415443
Name:SUN, WILLIAM (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:SUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 867355
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75086-7355
Mailing Address - Country:US
Mailing Address - Phone:972-246-8823
Mailing Address - Fax:469-791-9128
Practice Address - Street 1:600 W CAMPBELL RD
Practice Address - Street 2:STE 4
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3385
Practice Address - Country:US
Practice Address - Phone:972-246-8823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-29
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor