| Meg Sullivan, M.d., Pa | |
|
802 W Lampasas St Ennis TX 75119-4536 | |
| (972) 875-4700 | |
| (972) 878-4527 |
| Full Name | Meg Sullivan, M.d., Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 802 W Lampasas St, Ennis, Texas |
| Authorized Official Name and Position | Meg Sullivan (PRESIDENT) |
| Authorized Official Contact | 9728754700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meg Sullivan, M.d., Pa 802 W Lampasas St Ennis TX 75119-4536 Ph: (972) 875-4700 | Meg Sullivan, M.d., Pa 802 W Lampasas St Ennis TX 75119-4536 Ph: (972) 875-4700 |
| NPI Number | 1083924005 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2010 |
| Medicare PECOS PAC ID | 6608062559 |
|---|---|
| Medicare Enrollment ID | O20101118000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083924005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N5421 (Texas) | Primary |
| Provider Name | Margaret Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134330178 PECOS PAC ID: 7416143367 Enrollment ID: I20101118000478 |
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