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Dr. Thomas B Sulistio, MD
Specialist in Denison, Texas
NPI 1851378079

Thomas B Sulistio is a Specialist based in Denison, TX. Thomas B Sulistio practices in Denison, TX and has the professional credentials of MD. The NPI Number for Thomas B Sulistio is 1851378079 and holds a License No. G4408 (Texas).

The current practice location address for Thomas B Sulistio is 1000 Memorial Dr, Denison, TX and can be reached out via phone at 903-416-4000 and via fax at 903-327-8023.

Location: 1000 Memorial Dr, Denison, TX, 75020-1167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851378079
Provider Name
Thomas B Sulistio
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Memorial Dr, Denison, TX, 75020-1167
Phone Number
903-416-4000
Fax Number
903-327-8023
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1000 Memorial Dr
City
Denison
State
Texas
Zip
75020-2035
Phone Number
903-416-4000
Fax Number
903-327-8023
person
Provider Business Mailing Address Details
Address
1000 Memorial Dr
City
Denison
State
Texas
Zip
75020-2035
Phone Number
903-416-4000
Fax Number
903-327-8023
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G4408 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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