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John M Sullivan, MD
Vascular Surgery Physician in Ennis, Texas
NPI 1336132117

John M Sullivan is a Vascular Surgery Physician based in Ennis, TX and is specialized in Vascular Surgery. John M Sullivan practices in Ennis, TX and has the professional credentials of MD. The NPI Number for John M Sullivan is 1336132117 and holds a License No. K5708 (Texas).

The current practice location address for John M Sullivan is 802 W Lampasas St, Ennis, TX and can be reached out via phone at 972-878-4700 and via fax at 972-878-2238.

Location: 802 W Lampasas St, Ennis, TX, 75119-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336132117
Provider Name
John M Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
802 W Lampasas St, Ennis, TX, 75119-4500
Phone Number
972-878-4700
Fax Number
972-878-2238
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
138206115 05 TX
8A7520 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
802 W Lampasas St
City
Ennis
State
Texas
Zip
75119-4500
Phone Number
972-878-4700
Fax Number
972-878-2238
person
Provider Business Mailing Address Details
Address
802 W Lampasas St
City
Ennis
State
Texas
Zip
75119-4500
Phone Number
972-878-4700
Fax Number
972-878-2238
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
K5708 (Texas)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
K5708 (Texas)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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