Individual
MICHAEL SULLIVAN-NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10110 DEER TRAIL LN, HELOTES, TX 78023-3888
(210) 253-0015
Mailing address
PO BOX 750, HELOTES, TX 78023-0750
(210) 253-0015
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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