Edward M Sullivan, PA

NPI #1942209333 in Sunnyvale, Texas

Provider Information

NPI Number: 1942209333
Entity Type: Individual
Name: Edward M Sullivan, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 18, 2005
Last Updated: Sep 17, 2010

Practice Location

Address: 341 WHEATFIELD DR
Address 2: SUITE 190
City: Sunnyvale
State: Texas
ZIP Code: 75182-4638
Phone: (972) 686-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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