Provider Demographics
NPI:1124175005
Name:SUN, J GEORGE (MD)
Entity type:Individual
Prefix:
First Name:J
Middle Name:GEORGE
Last Name:SUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JACHI
Other - Middle Name:GEORGE
Other - Last Name:SUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:929 GESSNER RD STE 1360
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2469
Mailing Address - Country:US
Mailing Address - Phone:713-468-2030
Mailing Address - Fax:713-468-1940
Practice Address - Street 1:929 GESSNER RD STE 1360
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2469
Practice Address - Country:US
Practice Address - Phone:713-468-2030
Practice Address - Fax:713-468-1940
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0677207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX271871YPDSMedicare PIN