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Chad E Sullivan
Durable Medical Equipment & Medical Supplies in Pasadena, Texas
NPI 1609927185

Chad E Sullivan is a Durable Medical Equipment & Medical Supplies based in Pasadena, TX. Chad E Sullivan practices in Pasadena, TX. The NPI Number for Chad E Sullivan is 1609927185 and holds a License No. 0059509 (Texas).

The current practice location address for Chad E Sullivan is 4104 Yellowstone Dr, Pasadena, TX and can be reached out via phone at 281-991-8354 and via fax at 281-991-8352.

Location: 4104 Yellowstone Dr, Pasadena, TX, 77504-3427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609927185
Provider Name
Chad E Sullivan
Credential
Provider Entity Type
Organization
Address
4104 Yellowstone Dr, Pasadena, TX, 77504-3427
Phone Number
281-991-8354
Fax Number
281-991-8352
Provider Enumeration Date
01/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
148594801 05 TX
530853 01 TX BLUE CROSS BLUE SHIELD #
institution
Provider Business Practice Location Address Details
Address
4104 Yellowstone Dr
City
Pasadena
State
Texas
Zip
77504-3427
Phone Number
281-991-8354
Fax Number
281-991-8352
person
Provider Business Mailing Address Details
Address
4104 Yellowstone Dr
City
Pasadena
State
Texas
Zip
77504-3427
Phone Number
281-991-8354
Fax Number
281-991-8352
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
0059509 (Texas)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0059509 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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