person
Michael A Sullivan, PA
Surgical Physician Assistant in Tyler, Texas
NPI 1568418242

Michael A Sullivan is a Surgical Physician Assistant based in Tyler, TX and is specialized in Surgical. Michael A Sullivan practices in Tyler, TX and has the professional credentials of PA. The NPI Number for Michael A Sullivan is 1568418242 and holds a License No. (Texas).

The current practice location address for Michael A Sullivan is 3414 Golden Rd, Tyler, TX and can be reached out via phone at 903-939-7500 and via fax at 903-939-7725.

Location: 3414 Golden Rd, Tyler, TX, 75701-8336
person
Provider Profile Details
NPI Number
1568418242
Provider Name
Michael A Sullivan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3414 Golden Rd, Tyler, TX, 75701-8336
Phone Number
903-939-7500
Fax Number
903-939-7725
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187611201 05 TX
8X7926 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
3414 Golden Rd
City
State
Zip
75701-8336
Phone Number
903-939-7500
Fax Number
903-939-7725
person
Provider Business Mailing Address Details
Address
3414 Golden Rd
City
State
Zip
75701-8336
Phone Number
903-939-7500
Fax Number
903-939-7725
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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