Individual
DR. SEAN K. OSULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.A.B.R.
Contact information
Practice address
6915 N. MAIN ST., VICTORIA, TX 77904
(361) 572-3139
(361) 572-8610
Mailing address
6915 N. MAIN ST., VICTORIA, TX 77904
(361) 572-3139
(361) 572-8610
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H6481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089859501
—
TX
Enumeration date
01/24/2007
Last updated
09/14/2007
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