SULLIVAN MEDICAL CLINIC – NPI #1205919214
Family Medicine
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
SULLIVAN MEDICAL CLINIC is a provider located in CORRIGAN, TX. NPPES has assigned the NPI number 1205919214 to SULLIVAN MEDICAL CLINIC on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine
The NPI profile was previously updated about 19 years ago on Sep 25, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SULLIVAN MEDICAL CLINIC below.
NPI Profile for
SULLIVAN MEDICAL CLINIC
(more than 19 years ago)
CORRIGAN, TX 78595 Phone: (956) 485-1401 Fax: (956) 485-0107
SULLIVAN CITY, TX 78595-0250 Phone: (956) 485-1401 Fax: (956) 485-1407
CEO
Phone: (956) 485-1401
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207QA0000X - Family Medicine / Adolescent Medicine (Primary) |
TX | |
| 207QA0505X - Family Medicine / Adult Medicine |
TX |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.