Sun, Grace

Sun, Grace is an individual health care provider with primary practice located at 3601 4Th St Ms 9901, Lubbock TX 79430-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sun, Grace can be contacted via phone (806) 743-2757.

Contact Information

Primary practice address
3601 4Th St Ms 9901 Lubbock TX 79430-0002
Phone: (806) 743-2757
Fax: (806) 743-2563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP113586 Texas

Profile Details

NPI number 1134185069
LBN Legal business name Sun, Grace
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134185069 NPPES
Texas MEDICAID 171651601

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