Individual provider · Type 1 NPI

Clarence Michael Sullivan, IDMT

Independent Duty Medical Technicians · Fort Sam Houston, TX

NPI number 1437756574 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (210) 916-3918 Map

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians Primary 1710I1003XNone listed

Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …

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About NPI 1437756574

Clarence Michael Sullivan, IDMT's National Provider Identifier is 1437756574, issued on Oct 1, 2020. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Oct 1, 2020.