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1932467123
SCOTT SULLIVAN
SAN ANTONIO, TX
NPI
1932467123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: TX S8254)
Enumeration Date
2012-04-25
Last Update Date
2023-07-09
Business Address
SCOTT SULLIVAN
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-4141
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Mailing Address
SCOTT SULLIVAN
4305 N MESA ST STE A
EL PASO, TX 79902-1124
Phone number: 915-532-2477
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