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Active NPI 1609927185 Organization (Entity Type 2)

Chad E Sullivan

Durable Medical Equipment & Medical Supplies • Pasadena, TX

Public Directory Information & Medical Disclaimer

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About Chad E Sullivan NPI 1609927185 Summary

Chad E Sullivan is a verified healthcare organization specializing in Durable Medical Equipment & Medical Supplies operating in Pasadena, TX. Located at 4104 YELLOWSTONE DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1609927185.

Administrative operations and authorized compliance are overseen by Chad Sullivan (Owner).

Facility Location & Contact Primary Location

Facility Address

4104 Yellowstone Dr

Pasadena, TX 775043427

Telephone 2819918354

Fax 2819918352

Authorized Official Information

Authorized Contact Name

MR. Chad Sullivan

Title / Role

Owner

Official Telephone

2819918354

Facility Classifications & Specialties

Durable Medical Equipment & Medical Supplies Primary Taxonomy

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Non-Pharmacy Dispensing Site

NUCC Taxonomy Code: 332900000X

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active June 23, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 23, 2008

Registered at 4104 YELLOWSTONE DR, PASADENA, TX 775043427 (Tel: 2819918354)

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Updated Business Mailing Address June 23, 2008

Registered at 4104 YELLOWSTONE DR, PASADENA, TX 775043427 (Tel: 2819918354)

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Organization / Clinic Name Updated June 23, 2008

Operating as CHAD E SULLIVAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2008

Non-Pharmacy Dispensing Site (License #0059509 in TX)

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Initial NPI Registration & Enumeration January 13, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1609927185

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: January 13, 2007

Last Update: June 23, 2008

Update or Correct Listing

Mailing Address

4104 Yellowstone Dr

Pasadena, TX 775043427

Phone: 2819918354

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.