Individual
CLYDE SULLIVAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7850 COLLIN MCKINNEY PKWY, SUITE 120, MCKINNEY, TX 75070-2140
(469) 854-8920
(469) 854-8923
Mailing address
7850 COLLIN MCKINNEY PKWY, SUITE 120, MCKINNEY, TX 75070-2140
(469) 854-8920
(469) 854-8923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2866626-S150
OH
207RC0000X
Cardiovascular Disease Physician
Primary
N6695
TX
Other
Enumeration date
06/13/2007
Last updated
07/29/2010
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