Individual
ZACHARY JOEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6500 WEST FWY STE 700, FORT WORTH, TX 76116-2180
(817) 527-8621
(801) 901-1194
Mailing address
6500 WEST FWY STE 700, FORT WORTH, TX 76116-2180
(817) 527-8621
(817) 502-3632
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q6577
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
09/08/2025
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