SUNNYSIDE MEDICAL NPI 1962969352

NPI Information

  • NPI: 1962969352
  • Provider Name: SUNNYSIDE MEDICAL
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 4561 EDFIELD ST
    HOUSTON, TX
    ZIP 77051
  • Phone: (713) 425-3772

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NPI Details

SUNNYSIDE MEDICAL is a multi-specialty clinic center in Houston, TX. SUNNYSIDE MEDICAL NPI is 1962969352. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4561 EDFIELD ST
HOUSTON, TX
ZIP 77051-909
Phone: (713) 425-3772
Fax: (713) 425-3772

The provider's authorized official is Ronell Williams .
The authorized official title is Contract Administrator and has the following contact phone number (504) 495-2727.

The enumeration date for this NPI number is 2/21/2019 and was last updated on 2/21/2019.

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
1208VP0000XPain MedicinePain MedicineNo
2261Q00000XClinic/CenterNo
3261QP2300XClinic/CenterPrimary CareNo
4261QP3300XClinic/CenterPainNo
5261QX0100XClinic/CenterOccupational MedicineNo
6261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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