Individual
SCOTT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4141
Mailing address
4305 N MESA ST STE A, EL PASO, TX 79902-1124
(915) 532-2477
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.143461
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
S8254
TX
Other
Enumeration date
04/25/2012
Last updated
04/30/2026
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