Len Sullivan, PA

Physician Assistant · Taylor, TX

Individual Active NPI

NPI number 1326198110

Practice location

305 Mallard Ln
Taylor, TX 76574-1208
Phone
(512) 352-7611
Fax
(512) 352-2196

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NPI record

NPI
1326198110
Entity type
Individual (Type 1)
Enumeration date
January 12, 2007
Last updated
November 1, 2023
Certified
November 1, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA11712 TX
Physician Assistant 363A00000X 00703 CT
Medical Physician Assistant 363AM0700X 902 MA

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone
(254) 724-2111

Other practice locations (1)

  • Rte 75 AASF Bldge 154, Windsor Locks, CT 06096 · (860) 292-4711

About Len Sullivan

Len Sullivan, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 305 Mallard Ln, Taylor, TX 76574-1208. The NPI number 1326198110 was assigned on January 12, 2007 and the record was last updated on November 1, 2023.

Len Sullivan lists 3 licenses in the registry: #PA11712 (TX) for Physician Assistant; #00703 (CT) for Physician Assistant; #902 (MA) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Len Sullivan, PA?

The NPI number is 1326198110.

What is the phone number of Len Sullivan?

The phone number listed for the practice location is (512) 352-7611.

Where is Len Sullivan located?

305 Mallard Ln, Taylor, TX 76574-1208.

What is the taxonomy code for Len Sullivan?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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