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Marshall Sullivan
NPI 1942438064 · on the registry since 2009 · sole proprietor
Practice
- Address
- 346 Sprucewood Ln
San Antonio, TX 78216 - Phone
- (210) 737-4291
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-26
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