Sullivan, Katherine T
Sullivan, Katherine T is an individual health care provider with primary practice located at 17183 Interstate 45 S Ste 410 , Shenandoah TX 77385-3313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sullivan, Katherine T can be contacted via phone (281) 602-7380.Contact Information
Primary practice address
17183 Interstate 45 S Ste 410
Shenandoah TX 77385-3313
Phone: (281) 602-7380
Fax: (281) 602-7386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M1372 | Texas |
Profile Details
| NPI number | 1679530141 |
|---|---|
| LBN Legal business name | Sullivan, Katherine T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679530141 | NPPES |
| Texas | MEDICAID | 176838401 |
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