Organization
GSA PLANO
Active
Other names
Genesis Spine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY E SULLIVAN D.O. (DOCTOR)
(972) 378-9991
Entity
Organization
Contact information
Practice address
6101 WINDCOM CT, STE 300, PLANO, TX 75093-7895
(972) 378-9991
(972) 378-9992
Mailing address
6101 WINDCOM CT STE 300, PLANO, TX 75093-7895
(972) 378-9991
(972) 378-9992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8483
TX
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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