Travis Wayne Sullivan, D.C.

NPI #1912138348 in Prosper, Texas

Provider Information

NPI Number: 1912138348
Entity Type: Individual
Name: Travis Wayne Sullivan, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 3, 2009
Last Updated: Feb 3, 2023

Practice Location

Address: 101 E BROADWAY ST
City: Prosper
State: Texas
ZIP Code: 75078-2934
Phone: (972) 347-9933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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