Sean Ryan Pollock, CCP, LP
Perfusionist in Dallas, TX. Individual provider (NPI-1).
NPI number1811610710
StatusActive
Last updated in NPPESSep 26, 2022
Details
- NPI
- 1811610710
- Entity type
- Individual (NPI-1)
- Name
- Sean Ryan Pollock
- Credential
- CCP, LP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2022
- Certification date
- Sep 25, 2022
- Last updated
- Sep 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 242T00000X | Perfusionist | MB-718835 | TX | Yes |
Practice location
8200 Walnut Hill LnDallas, TX 75231-4402
Phone 214-345-6789
Mailing address
206 Windmill Ridge DrRockwall, TX 75032-5605
Phone 214-728-5756
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