Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Len Sullivan, PA

Individual provider Physician Assistant · NPI 1326198110

Len Sullivan, PA is a Physician Assistant in Taylor, Texas. Qualified in 2001, 25 years ago. Practices with Concord Medical Group of Texas PLLC, a 317-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, Massachusetts and Texas.

Years since qualifying
25
Licensed in
CT, MA, TX
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

305 Mallard Ln
Taylor, TX 76574-1208
Phone: (512) 352-7611
Fax: (512) 352-2196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Rte 75 Aasf Bldge 154, Windsor Locks, CT 06096 — (860) 292-4711

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11712 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 00703 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 902 (MA)

Record details

NPI number1326198110
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 12, 2007
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Concord Medical Group Of Texas Pllc — 317 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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