Individual
CHARISE N SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 E MEDICAL CENTER BLVD, WEBSTER, TX 77598
(281) 332-2511
Mailing address
8325 BROADWAY ST, STE 202 283, PEARLAND, TX 77581
(832) 870-3730
(281) 258-4592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10356
MN
363A00000X
Physician Assistant
Primary
PA08489
TX
Other
Enumeration date
11/26/2007
Last updated
06/17/2025
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