Organization
AUSTIN SOUTHWEST ORTHOPAEDIC GROUP, P.A.
Active
Other names
Southwest Orthopaedic Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN L SULLIVAN (MD)
(512) 451-1969
Entity
Organization
Contact information
Practice address
5200 DAVIS LANE SUITE B200, AUSTIN, TX 78749
(512) 451-1969
(512) 458-2327
Mailing address
7951 SHOAL CREEK BLVD STE 300, AUSTIN, TX 78757-7582
(512) 584-8404
(512) 458-2327
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0824948-01
—
TX
Enumeration date
09/27/2005
Last updated
05/17/2024
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