TERRENCE SULLIVAN

DECATUR, TX
NPI1275506925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  H8446)
Enumeration Date2006-02-10
Last Update Date2007-07-08
Business Address
-- TERRENCE SULLIVAN DO
2000 S FM 51
DECATUR, TX 76234-3702
Phone number: 940-627-5921
Mailing Address
-- TERRENCE SULLIVAN DO
3620 W 6TH ST
FT WORTH, TX 76107-2026
Phone number: 817-738-0333