Provider Demographics
NPI:1861873283
Name:SUNSET PEDIATRIC URGENT CARE PA
Entity type:Organization
Organization Name:SUNSET PEDIATRIC URGENT CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHON
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-920-5446
Mailing Address - Street 1:11920 WESTHEIMER RD
Mailing Address - Street 2:STE. F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6666
Mailing Address - Country:US
Mailing Address - Phone:281-920-5446
Mailing Address - Fax:
Practice Address - Street 1:11920 WESTHEIMER RD
Practice Address - Street 2:STE. F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6666
Practice Address - Country:US
Practice Address - Phone:281-920-5446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty