DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEN SULLIVAN, PA

Active

LEN SULLIVAN, PA is a Physician Assistant healthcare provider located in TAYLOR, Texas. NPI 1326198110 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TAYLOR, TX

Registration Details

NPI Number
1326198110
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2007 (19.565488831977 yrs)
Last Updated
Nov 1, 2023
Licenses
00703 (CT)
902 (MA)
PA11712 (TX)

Practice Information

Address
305 MALLARD LN
TAYLOR, TX, 765741208
Browse TX providers · Browse ZIP 76574
Phone
5123527611
Fax
5123522196
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in TAYLOR, TX

Name Credential NPI
STEVEN R FOWLER PA 1508817628
MINH NGO PA 1689107294
RIYUSHHI MAHADIK 1831729987
SARAI ALBERT PA-C 1255964037
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.