| Sunnyvale Family Clinic Llc | |
|
2379 Gus Thomasson Rd Ste 100 Mesquite TX 75150-7102 | |
| (469) 691-2288 | |
| (469) 691-2289 |
| Full Name | Sunnyvale Family Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2379 Gus Thomasson Rd Ste 100, Mesquite, Texas |
| Authorized Official Name and Position | Jaisy Raju (OWNER/PROVIDER) |
| Authorized Official Contact | 4696912288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyvale Family Clinic Llc 398 Redstone Dr Sunnyvale TX 75182-3239 Ph: (469) 691-2288 | Sunnyvale Family Clinic Llc 2379 Gus Thomasson Rd Ste 100 Mesquite TX 75150-7102 Ph: (469) 691-2288 |
| NPI Number | 1093503963 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093503963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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