OrganizationActive
Sullivan Medical Clinic
NPI 1205919214 · Adolescent Medicine (Family Medicine) Physician · Sullivan, TX
Provider details
- NPI number
- 1205919214
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Louis Madhere, Ceo(956) 485-1401
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Practice location
11325 W Expressway 83
Sullivan, TX 78595
Phone: (956) 485-1401
Fax: (956) 485-0107
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 250
Sullivan City, TX 78595-0250
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2007-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.