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Organization

JW SULLIVAN CONSULTANTS PLLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON SHIRAZ M.D. (OWNER/AUTH OFFICIAL)
(682) 582-7001
Entity
Organization

Contact information

Practice address
1800 PARK PLACE AVE, FORT WORTH, TX 76110-1302
(682) 703-5600
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
(765) 284-2434

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/15/2017
Last updated
01/25/2018
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