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Dr. Jimmy Brian Sullivan, DC
Chiropractor in Tyler, Texas
NPI 1619368941

Jimmy Brian Sullivan is a Chiropractor based in Tyler, TX. Jimmy Brian Sullivan practices in Tyler, TX and has the professional credentials of DC. The NPI Number for Jimmy Brian Sullivan is 1619368941 and holds a License No. 12808 (Texas).

The current practice location address for Jimmy Brian Sullivan is 1540 Rice Rd Ste 400, Tyler, TX and can be reached out via phone at 903-597-9021.

Location: 1540 Rice Rd Ste 400, Tyler, TX, 75703-3223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619368941
Provider Name
Jimmy Brian Sullivan
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1540 Rice Rd Ste 400, Tyler, TX, 75703-3223
Phone Number
903-597-9021
Fax Number
Provider Enumeration Date
02/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
583300AC3Z 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
1540 Rice Rd Ste 400
City
Tyler
State
Texas
Zip
75703-3223
Phone Number
903-597-9021
Fax Number
person
Provider Business Mailing Address Details
Address
1540 Rice Rd Ste 400
City
Tyler
State
Texas
Zip
75703-3223
Phone Number
903-597-9021
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
12808 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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