Individual
JOSEPH CHARLES O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-3249
Mailing address
1016 OAK RIDGE, SCHERTZ, TX 78154
(210) 481-4518
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
633684
TX
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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