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Search › Texas › 1710I1003X

Clarence Sullivan, IDMT

NPI 1437756574 · on the registry since 2020

Practice

Address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234
Phone
(210) 916-3918
Organisation at this address
Ncng
Amc Bamc-Fsh
Dr. Angela Sallie, Pllc
Brooke Army Medical Center
Brooke Army Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,479

Registry record

Primary taxonomy
1710I1003X
1710I1003X
Sex
Male
Record last updated
2020-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas