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Tanita Sullivan
NPI 1659671147 · on the registry since 2010 · sole proprietor
Practice
- Address
- 13985 Broken Arrow Dr
Willis, TX 77378 - Phone
- (936) 856-6136
- Fax
- (936) 856-7549
Registry record
- Primary taxonomy
- 320600000X
320600000X
- Also registered as
- 320700000X
320900000X
324500000X - Sex
- Female
- Record last updated
- 2010-10-29
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