Charise N Sullivan in Pearland - Physician Assistant
Charise N Sullivan - NPI 1386825909
Charise N Sullivan is a Physician Assistant in Pearland, Texas. Charise N Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charise N Sullivan is 1386825909. The last update date is 2016-02-15.
Charise N Sullivan's current location address is 8325 Broadway St, Pearland, Texas. You can contact this provider via phone number 8328703730 and fax number 2812584592. The mailing address for Charise N Sullivan is 8325 Broadway St, Pearland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charise N Sullivan |
|---|---|
| Address | 8325 Broadway St, Pearland, Texas |
| Phone Number | 8328703730 |
| Fax Number | 2812584592 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1386825909 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2016-02-15 |
Provider Mailing Address Detail
| Address | 8325 Broadway St |
|---|---|
| City | Pearland |
| State | Texas (TX) |
| Post Code | 77581 |
| Phone Number | 8328703730 |
| Fax Number | 2812584592 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10356 |
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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 provider identifier assigned to Charise N Sullivan?
The Charise N Sullivan has been issued the NPI (National Provider Identifier) 1386825909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Charise N Sullivan's physical address?
The Charise N Sullivan is physically located at 8325 Broadway St, in the city of Pearland, TX, with the postal code 77581.
What is Charise N Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charise N Sullivan's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Charise N Sullivan receive the assignment of its 1386825909 from the Centers for Medicare & Medicaid Services?
The Charise N Sullivan was issued its 1386825909 by the Centers for Medicare & Medicaid Services on 2007-11-26.
When was the Charise N Sullivan's information last updated?
The Charise N Sullivan's information was last updated on 2016-02-15.
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