Individual
PETER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6410 FANNIN ST STE 420, HOUSTON, TX 77030-3007
(832) 325-7280
Mailing address
KUMC 3901 RAINBOW BLVD MS 1034, KANSAS CITY, KS 66160-0001
(913) 588-3302
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
9408895
KS
208800000X
Urology Physician
Primary
05-43714
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
04/23/2026
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