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Individual

REBECCA CRAIN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1900
(094) 772-0122
(409) 747-0777
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0764
(409) 772-0122
(409) 747-0777

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
BP10084453
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/20/2020
Last updated
06/27/2023
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