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Matthew Sullivan
NPI 1639650955 · on the registry since 2018
Practice
- Address
- 500 Valle Vista Dr
Athens, TX 75751 - Phone
- (903) 675-2046
- Organisation at this address
- Green Oaks Snf Llc
Southwest Ltc Athens LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-24
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