Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARENCE MICHAEL SULLIVAN, IDMT
ActiveCLARENCE MICHAEL SULLIVAN, IDMT is a Independent Duty Medical Technician healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1437756574 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · FORT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1437756574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2020 (5.8357804301184 yrs)
- Last Updated
- Oct 1, 2020
Practice Information
- Address
-
3551 ROGER BROOKE DRFORT SAM HOUSTON, TX, 782344504Browse TX providers · Browse ZIP 78234
- Phone
- 2109163918
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in FORT SAM HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| ALYSSA SIMON | IDMT | 1760970115 |
| NICOLAS KEPA BELL | — | 1154814382 |
| DREW BIVENS | — | 1790278927 |
| ERRICKA SMITH | IDMT | 1457835191 |
| KYLE SCHACHSIECK | — | 1790382844 |
| SAMANTHA BURKETT | IDMT | 1659143857 |
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.