Sullivan Medical Clinic
Sullivan Medical Clinic is an Adolescent Medicine (Family Medicine) Physician in Sullivan, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
11325 W Expressway 83Sullivan, TX 78595
Phone: (956) 485-1401
Fax: (956) 485-0107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0000X (TX) |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X (TX) |
Record details
| NPI number | 1205919214 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Louis Madhere — Ceo · (956) 485-1401 |
| NPI enumerated | October 23, 2006 |
| Last updated in NPPES | September 25, 2007 |
| Mailing address | Po Box 250, Sullivan City, TX 78595-0250 |