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NPI Code Detail

MEDICARE: DR. JANA C SULLINGER MD

MEDICARE: DR. JANA C SULLINGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianH9721TX

General Provider Information

NPI Number : 1689654410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANA C SULLINGER MD
Provider Business Mailing Address
First Line : 14275 MIDWAY RD
Second Line : SUITE 400
City : ADDISON
State : TX
Zip : 75001-3614
Country : US
Telephone Number : 972-934-4300
Fax Number : 610-271-4245
Provider Business Practice Location Address
First Line : 4770 REGENT BLVD
Second Line :
City : IRVING
State : TX
Zip : 75063-2445
Country : US
Telephone Number : 972-934-4300
Fax Number : 972-455-1212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 07/21/2022

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Directions to “ DR. JANA C SULLINGER MD” Practice Location

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