Provider Demographics
NPI:1427135987
Name:SUNSHINE PEDIATRICS LLP
Entity type:Organization
Organization Name:SUNSHINE PEDIATRICS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSS. ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:Q
Authorized Official - Last Name:JLAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-350-5530
Mailing Address - Street 1:1474 W PRICE RD # 536
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8687
Mailing Address - Country:US
Mailing Address - Phone:956-350-5530
Mailing Address - Fax:956-350-5527
Practice Address - Street 1:4920 N EXPRESSWAY
Practice Address - Street 2:ALTON GLOOR PLAZA 101
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4121
Practice Address - Country:US
Practice Address - Phone:956-350-5530
Practice Address - Fax:956-350-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK32592080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116839OtherSUPERIOR HEALTH GRP NUMBE
TX0025NROtherBCBS GROUP NUMBER