Individual
KATHERINE T SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17183 INTERSTATE 45 S STE 410, SHENANDOAH, TX 77385-3313
(281) 602-7380
(281) 602-7386
Mailing address
17183 INTERSTATE 45 S STE 410, SHENANDOAH, TX 77385-3313
(281) 602-7380
(281) 602-7386
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M1372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176838401
—
TX
Enumeration date
04/28/2006
Last updated
07/21/2022
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