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Organization
SULLIVAN CHIROPRACTIC CENTERS, PA
Active
Organization
SULLIVAN CHIROPRACTIC CENTERS, PA
Active
Other names
Sullivan Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA JANE SULLIVAN D.C. (PRESIDENT)
(972) 612-7880
Entity
Organization
Contact information
Practice address
428 MAPLELAWN DR, STE 100, PLANO, TX 75075-5745
(972) 612-7880
(469) 429-2929
Mailing address
428 MAPLELAWN DR, STE100, PLANO, TX 75075-5745
(972) 612-7880
(469) 429-2929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4855884
CIGNA
TX
Enumeration date
05/09/2008
Last updated
09/17/2008
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