SearchTexas224Z00000X

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 Ltd
Inferred 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