Provider Demographics
NPI:1992709422
Name:SUNYA RACHELL CLAIBORNE
Entity type:Organization
Organization Name:SUNYA RACHELL CLAIBORNE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUNYA
Authorized Official - Middle Name:RACHELL
Authorized Official - Last Name:CLAIBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-697-2300
Mailing Address - Street 1:2925 WEST TC JESTER
Mailing Address - Street 2:SUITE #11
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-5928
Mailing Address - Country:US
Mailing Address - Phone:713-697-2300
Mailing Address - Fax:713-697-2303
Practice Address - Street 1:2925 WEST TC JESTER
Practice Address - Street 2:SUITE #11
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-5928
Practice Address - Country:US
Practice Address - Phone:713-697-2300
Practice Address - Fax:713-697-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00190YMedicare ID - Type UnspecifiedKASHMERE GARDEN HEALTHCAR