Provider Demographics
NPI:1174315170
Name:SULLIVAN, CRAIG (CFO FACILITY AND PRO)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:SULLIVAN
Suffix:
Gender:M
Credentials:CFO FACILITY AND PRO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 504
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77553-0504
Mailing Address - Country:US
Mailing Address - Phone:409-209-0581
Mailing Address - Fax:
Practice Address - Street 1:123 ROSENBERG ST STE 2017
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-1494
Practice Address - Country:US
Practice Address - Phone:409-209-0581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information