Sullivan, Theresa M.

Sullivan, Theresa M. is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Sullivan, Theresa M. can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4009
Phone: (713) 792-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 451121 Texas

Profile Details

NPI number 1063599009
LBN Legal business name Sullivan, Theresa M.
Credentials RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063599009 NPPES
Texas Other 8N2898 BCBS
Texas MEDICAID 155840501 BCBS
Texas Other 890001203 BCBS

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