Sullivan Medical Clinic

LBN: Sullivan Medical Clinic
Sullivan Medical Clinic is an health care organization with primary practice located at 11325 W Expressway 83 , Sullivan TX 78595. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty. Sullivan Medical Clinic can be contacted via phone (956) 485-1401, or through Madhere, Louis Gesler via phone (956) 485-1401.

Contact Information

Primary practice address
11325 W Expressway 83 Sullivan TX 78595
Phone: (956) 485-1401
Fax: (956) 485-0107
Website:
Map and Directions
Authorized official contact:
Name: Madhere, Louis Gesler PHYSICIAN ASSISTANT
Phone: (956) 485-1401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X Texas

Profile Details

NPI number 1205919214
LBN Legal business name Sullivan Medical Clinic
DBA Doing business as
Authorized official Madhere, Louis Gesler PHYSICIAN ASSISTANT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Sep 25th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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