| Michelle Sun Md Pa | |
|
3900 W 15th St Suite 404 Plano TX 75075-7751 | |
| (972) 758-9327 | |
| (972) 867-4970 |
| Full Name | Michelle Sun Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3900 W 15th St, Plano, Texas |
| Authorized Official Name and Position | Michelle Sun (PRESIDENT) |
| Authorized Official Contact | 9727589327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Sun Md Pa 3900 W 15th St Suite 404 Plano TX 75075-7751 Ph: (972) 758-9327 | Michelle Sun Md Pa 3900 W 15th St Suite 404 Plano TX 75075-7751 Ph: (972) 758-9327 |
| NPI Number | 1013106657 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 04/16/2008 |
| Medicare PECOS PAC ID | 0143399337 |
|---|---|
| Medicare Enrollment ID | O20080514000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013106657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L3847 (Texas) | Primary |
| Provider Name | Michelle V Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235242405 PECOS PAC ID: 4880763077 Enrollment ID: I20080514000091 |
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