Organization Name: | SUNSHINE PEDIATRICS P.A. |
NPI Number: | 1053552281 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAHFUZUL HUQ (PRESIDENT) |
Mailing Address: | 5428 South Jackson Rd. Edinburg |
State: | TX US |
Postal Code: | 78539 |
Phone Number: | 9566825515 |
Fax Number: | 9566825554 |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 03/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | L8738 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |