Most Relevant Information
Provider Data
| NPI Number: | 1003384199 |
| Provider Name: | ANITA MOMIN SUNESARA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | AP139291 |
Most Important Dates
| Enumeration Date: | 11/06/2018 |
| Last Updated: | 11/06/2018 |
Provider Practice Location
16655 SOUTHWEST FWY
SUGAR LAND
TX
774792329
Practice Location Phone/Fax
| Phone: | 2812747000 |
| Fax: |
Provider Mailing Location
6834 SORRELWOOD LN
SUGAR LAND
TX
774792169
Provider Mailing Phone/Fax
| Phone: | 8322985626 |
| Fax: |