Linda J Sullivan (NPI# 1932425089, PAC ID# 5890810626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1932425089 |
| PAC ID by PECOS | 5890810626 |
| Professional Enrollment ID | I20100916000364 |
| Full Name | Linda J Sullivan |
| Organization Legal Name | LIVE OAK FAMILY HEALTH, P.A. |
| Address |
1417 E Walnut St Suite 600 Seguin TX 78155-5184 |
| Phone Number | 8303795200 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4981729712 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450104 | GUADALUPE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1417 E Walnut St, Suite 600, Seguin, TX 78155-5184 | 8303795200 | LIVE OAK FAMILY HEALTH, P.A. |
| 205 N King St, Suite 200, Seguin, TX 78155-5836 | 8303795200 | LIVE OAK FAMILY HEALTH, P.A. |
| Organization Legal Name | LIVE OAK FAMILY HEALTH, P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Gore | Physician Assistant | Live Oak Family Health, P.a. | 1417 E Walnut St, Suite 600, Seguin, TX 78155-5184 |
| Street Address |
1417 E WALNUT ST SUITE 600 |
| City | SEGUIN |
| State | TX |
| Zip | 78155-5184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Gore | Physician Assistant | Live Oak Family Health, P.a. | 1417 E Walnut St, Suite 600, Seguin, TX 78155-5184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Steven White | Orthopedic Surgery | 280 S King, Seguin, TX 78155 | |
| Melchor D Villarreal | Clinical Social Worker | Autumn View Alliance, LLC | 131 Mckinley Rd, Seguin, TX 78155-0480 |
| Mary L Trevino | Psychologist, Clinical | Autumn View Alliance, LLC | 131 Mckinley Rd, Seguin, TX 78155-0480 |
| Susan L Boullioun | Family Medicine | 113 E Cedar St, Seguin, TX 78155-3709 | |
| Dominic Anthony Scaramozi | Chiropractic | 1300 N King St, Pecan Country Chiropractic, Seguin, TX 78155-3820 | |
| Pamela A Tackett | Chiropractic | 1367 E College St, Seguin, TX 78155-3962 | |
| Charles J White | Podiatry | 1345 E College St, Seguin, TX 78155-3962 | |
| John M Flanagan | Chiropractic | 757 N Hwy 123 Bypass, Seguin, TX 78155-3986 | |
| Tom H Raetzsch | Family Medicine | 1025 N Austin St, Seguin, TX 78155-4517 | |
| Teresa L Quebedeaux Farnham | Podiatry | 1345 E College St, Seguin, TX 78155-4562 | |
| Find all physicians in zip 78155 | |||
| City | SEGUIN |
| Zip Code | 78155 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SEGUIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Linda J Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.