P Praxis·MD
● Active Type 2 · Organization

Sullivan Medical Clinic

Family Medicine·Sullivan, TX· NPI 1205919214 · Enumerated 2006 · 19 years on NPI
Sullivan Medical Clinic is 1 of 19 family medicine organizations in Texas.
NPI age
19 years
Enumerated 2006-10-23
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Madhere
Ceo
Last NPPES update
2007-09-25
Source: monthly bulk 2026-05

How this organization compares

Across 19 active family medicine providers in Texas.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
11325 W Expressway 83
Sullivan, TX 78595
📞 9564851401fax 9564850107
Mailing address
Po Box 250
Sullivan City, TX 785950250
📞 9564851401fax 9564851407

Authorized official

Louis Gesler Madhere, PHYSICIAN ASSISTANT
Ceo
📞 9564851401

Specialties

  • Family Medicine Primary
    A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
    taxonomy 207QA0000X
  • Family Medicine
    The NUCC recommends this code not be used. Choose a more appropriate code.
    taxonomy 207QA0505X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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