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1073927398
MATTHEW SULLIVAN
FORT WORTH, TX
NPI
1073927398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX Q7799)
Enumeration Date
2014-06-14
Last Update Date
2018-06-22
Business Address
DR. MATTHEW SULLIVAN D.O.
1500 S MAIN ST
FORT WORTH, TX 76104
Phone number: 817-702-8773
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Mailing Address
DR. MATTHEW SULLIVAN D.O.
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number:
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