| Organization Name: | MICHELLE SUN MD PA |
| NPI Number: | 1013106657 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE SUN (PRESIDENT) |
| Mailing Address: | 3900 W 15th St Suite 404 Plano |
| State: | TX US |
| Postal Code: | 750757751 |
| Phone Number: | 9727589327 |
| Fax Number: | 9728674970 |
| NPI Enumeration Date: | 10/19/2007 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | L3847 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |