Individual
MR. ARTHUR LEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
12201 RENFERT WAY, SUITE 360, AUSTIN, TX 78758-5354
(512) 977-7000
(512) 977-7001
Mailing address
12201 RENFERT WAY, SUITE 360, AUSTIN, TX 78758-5354
(512) 977-7000
(512) 977-7001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
640304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640304
RN LICENSE
TX
Enumeration date
10/15/2007
Last updated
10/15/2007
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