DR. Thomas B Sulistio, MD

NPI #1851378079 in Denison, Texas

Provider Information

NPI Number: 1851378079
Entity Type: Individual
Name: DR. Thomas B Sulistio, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Dec 29, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 1000 MEMORIAL DR
City: Denison
State: Texas
ZIP Code: 75020-2035
Phone: (903) 416-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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