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Sullivan Medical Clinic
Adult Medicine Physician in Sullivan, Texas
NPI 1205919214

Sullivan Medical Clinic is an Adult Medicine Physician based in Sullivan City, TX and is specialized in Adult Medicine. Sullivan Medical Clinic practices in Sullivan, TX. The NPI Number for Sullivan Medical Clinic is 1205919214 and holds a License No. (Texas).

The current practice location address for Sullivan Medical Clinic is 11325 W Expressway 83, Sullivan, TX and can be reached out via phone at 956-485-1401 and via fax at 956-485-0107.

Location: 11325 W Expressway 83, Sullivan, TX, 78595-0250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205919214
Provider Name
Sullivan Medical Clinic
Credential
Provider Entity Type
Organization
Address
11325 W Expressway 83, Sullivan, TX, 78595-0250
Phone Number
956-485-1401
Fax Number
956-485-0107
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
11325 W Expressway 83
City
Sullivan
State
Texas
Zip
78595
Phone Number
956-485-1401
Fax Number
956-485-0107
person
Provider Business Mailing Address Details
Address
11325 W Expressway 83
City
Sullivan
State
Texas
Zip
78595
Phone Number
956-485-1401
Fax Number
956-485-0107
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
(Texas)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
(Texas)
Definition
Definition to come.
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