Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SULLIVAN MEDICAL CLINIC
Active OrganizationSULLIVAN MEDICAL CLINIC is a Addiction Medicine organization located in SULLIVAN, Texas. NPI 1205919214 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine · SULLIVAN, TX
Registration Details
- NPI Number
- 1205919214
- Provider Type
- Organization
- NPI Issued
- Oct 23, 2006 (19.830601506789 yrs)
- Last Updated
- Sep 25, 2007
Practice Information
- Address
-
11325 W EXPRESSWAY 83SULLIVAN, TX, 78595Browse TX providers · Browse ZIP 78595
- Phone
- 9564851401
- Fax
- 9564850107
- Primary Specialty
-
Addiction Medicine
207QA0000X
- Additional Specialty
- Addiction Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.