Individual
RYAN RICHARD SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
S8124
TX
207KA0200X
Allergy Physician
Primary
38819
TN
Other
Enumeration date
03/01/2007
Last updated
08/07/2026
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