Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M9037 | TX |
N | 111NI0900X | Internist | M9037 | TX |
Y | 207RC0000X | Internist - Cardiovascular Disease | M9037 | TX |
NPI | 1023286317 |
---|---|
Provider Name | Dr. Kai M Sun |
First Address | San Angelo, TX 76904-6878 |
Second Address | San Angelo, TX 76904-6878 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2008 |
Last Update Date | 08/09/2020 |