- Practice location
- 305 Mallard Ln, Taylor, TX 76574-1208
- Phone
- 512-352-7611
- Fax
- 512-352-2196
- Last updated
- November 1, 2023
Len Sullivan is a Physician Assistant based in Taylor, TX. Len Sullivan practices in Taylor, TX and has the professional credentials of PA. The NPI Number for Len Sullivan is 1326198110 and holds a License No. 00703 (CT). The current practice location address for Len Sullivan is 305 Mallard Ln, Taylor, TX 76574-1208 and can be reached out via phone at 512-352-7611 and via fax at 512-352-2196.
Provider Profile Details
- NPI Number
- 1326198110
- Provider Name
- Len Sullivan
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 305 Mallard Ln, Taylor, TX 76574-1208
- Phone Number
- 512-352-7611
- Fax Number
- 512-352-2196
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 12, 2007
- Last Update Date
- November 1, 2023
- Certification Date
- November 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 Mallard Ln
Taylor, TX 76574-1208 - City
- Taylor
- State
- Texas
- Zip
- 76574-1208
- Phone Number
- 512-352-7611
- Fax Number
- 512-352-2196
Provider Business Mailing Address Details
- Address
- Po Box 844658
Dallas, TX 75284-4658 - City
- Dallas
- State
- TX
- Zip
- 75284-4658
- Phone Number
- 254-724-2111
License Information
- License Number (1)
- 00703
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 902
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
- License Number (3)
- PA11712
- License State (3)
- TX
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Taylor, TX
View all Physician Assistants in Taylor →Frequently Asked Questions
What is the NPI number of Len Sullivan, PA?
The NPI number of Len Sullivan, PA is 1326198110. It was assigned on January 12, 2007 and is currently active in the NPPES registry.
What is the specialty of Len Sullivan, PA?
Len Sullivan, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 00703.
Where does Len Sullivan, PA practice?
The practice location is 305 Mallard Ln, Taylor, TX 76574-1208. The office can be reached at 512-352-7611 (phone) or 512-352-2196 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326198110 directly on the NPPES registry website.