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SUNRISE ADVANCED PEDIATRICS PLLC NPI 1710347596


NPI Information

NPI: 1710347596
Provider Name: SUNRISE ADVANCED PEDIATRICS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
12274 BANDERA RD
SUITE 104
HELOTES, TX
ZIP 78023
Phone: (210) 780-7248
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SUNRISE ADVANCED PEDIATRICS PLLC is a pediatrics in Helotes, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SUNRISE ADVANCED PEDIATRICS PLLC NPI is 1710347596. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12274 BANDERA RD
SUITE 104
HELOTES, TX
ZIP 78023-385
Phone: (210) 780-7248
Fax: (210) 780-7251

The provider's authorized official is Robert Pearson Sanders .
The authorized official title is Authorized Rep/owner and has the following contact phone number (210) 780-7248.

The enumeration date for this NPI number is 3/7/2016 and was last updated on 7/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0207XPediatricsPediatric Hematology-OncologyTEXASNo
2208000000XPediatricsTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1487640MEDICARE PINTEXAS
2357756101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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