Len Sullivan, PA

NPI #1326198110 in Taylor, Texas

Provider Information

NPI Number: 1326198110
Entity Type: Individual
Name: Len Sullivan, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 12, 2007
Last Updated: Nov 1, 2023

Practice Location

Address: 305 MALLARD LN
City: Taylor
State: Texas
ZIP Code: 76574-1208
Phone: (512) 352-7611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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