Sundance Medical & Scrubs, LP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0056978 Issued in TX

Legal business name

SUNDANCE MEDICAL & SCRUBS, LP

Practice address

517 W Woodard St
Denison, TX 75020-3140

Phone

(903) 463-4227

Fax

(903) 463-4505

NPI assigned

Jun 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Schock

Title

Partner

Phone

(903) 463-4227

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376588418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W WOODARD ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203140",
            "telephone_number": "903-463-4227",
            "fax_number": "903-463-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W WOODARD ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203140",
            "telephone_number": "903-463-4227",
            "fax_number": "903-463-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE MEDICAL & SCRUBS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-463-4227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0056978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Diane Streun, OTR
• STX Care of TX II, LLC
• Omar Alejandro Sujo, MD
• Thomas B Sulistio, MD
• Brandon J Sumner, D.O.
• Alexis Sutter
• Synergy Counseling Services & Associates Inc
• Omar B Taha, M.D.
• Andrea Dahne Talley, DC
• Hannah Grace Tanel, CRNA

• Durable Medical Equipment & Medical Supplies in Denison, TX
• Providers in Denison, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.