SULLIVAN MEDICAL CLINIC
NPI 1205919214
Family Medicine - Adolescent Medicine in Sullivan, TX

Q: What is Sullivan Medical Clinic's NPI number?

The NPI number for Sullivan Medical Clinic is 1205919214. It was assigned to this organization in the NPPES registry on October 23, 2006.

Q: What is Sullivan Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Active since October 23, 2006

11325 W EXPRESSWAY 83, SULLIVAN, TX 78595(956) 485-1401(956) 485-0107 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sullivan Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN MEDICAL CLINIC (NPI 1205919214) is a healthcare organization registered as an adolescent medicine in Sullivan, Texas and active in the NPI registry since October 2006. The organization lists Louis Gesler Madhere, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205919214

Entity TypeOrganization

Primary Taxonomy207QA0000X

Legal Business NameSULLIVAN MEDICAL CLINIC

Location Address11325 W EXPRESSWAY 83Sullivan, TX 78595

Mailing AddressPo Box 250Sullivan City, TX 78595-0250 · (956) 485-1401 · Fax (956) 485-1407

Phone(956) 485-1401

Fax(956) 485-0107

Organization SubpartNo

Authorized OfficialLouis Gesler MadhereCeo · (956) 485-1401

Enumeration DateOctober 23, 2006

Last NPPES UpdateSeptember 25, 2007

✔ NPI 1205919214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0000X

Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X

11325 W EXPRESSWAY 83, Sullivan, TX 78595

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan Medical Clinic's NPI number?

The NPI number for Sullivan Medical Clinic is 1205919214. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Sullivan Medical Clinic located?

Sullivan Medical Clinic is located at 11325 W Expressway 83, Sullivan, TX 78595. The listed phone number is (956) 485-1401.

What is Sullivan Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

When was this NPI record last updated?

The NPPES record for Sullivan Medical Clinic was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.