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Individual
SULLIVAN COX OWENS
Active
Individual
SULLIVAN COX OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA19825
TX
208200000X
Plastic Surgery Physician
10004428A
IN
363A00000X
Physician Assistant
Primary
PA19825
TX
Other
Enumeration date
06/04/2024
Last updated
06/04/2026
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