Search › Texas › 111N00000X
Jimmy Sullivan, DC
NPI 1619368941 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1540 Rice Rd Ste 400
Tyler, TX 75703 - Phone
- (903) 597-9021
- Organisation at this address
- Harbor Hospice 27, Lp
Four-Ten Enterprise, Llc
Harbor Hospice Of Texarkana LpInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-17
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