Michael D Sullivan in Irving - Physician Assistant
Michael D Sullivan - NPI 1689707515
Michael D Sullivan is a Physician Assistant in Irving, Texas. Michael D Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael D Sullivan is 1689707515. The last update date is 2014-10-30.
Michael D Sullivan's current location address is 6500 Sierra Dr Ste 150, Irving, Texas. You can contact this provider via phone number 9724435300 and fax number 9724320498. The mailing address for Michael D Sullivan is 6500 Sierra Dr Ste 150, Irving, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael D Sullivan |
|---|---|
| Address | 6500 Sierra Dr Ste 150, Irving, Texas |
| Phone Number | 9724435300 |
| Fax Number | 9724320498 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1689707515 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2014-10-30 |
Provider Mailing Address Detail
| Address | 6500 Sierra Dr Ste 150 |
|---|---|
| City | Irving |
| State | Texas (TX) |
| Post Code | 750392480 |
| Phone Number | 9724435300 |
| Fax Number | 9724320498 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00024 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Michael D Sullivan by the Centers for Medicare & Medicaid Services?
The Michael D Sullivan has been issued the NPI (National Provider Identifier) 1689707515 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michael D Sullivan located?
The Michael D Sullivan is located at 6500 Sierra Dr Ste 150, Irving, TX 750392480.
What is Michael D Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael D Sullivan is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689707515 to Michael D Sullivan?
The Michael D Sullivan received its 1689707515 assignment from the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date were the details related to Michael D Sullivan most recently updated or revised?
The information pertaining to Michael D Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2014-10-30.